Individual
PAMELA JEAN CANANT CHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3911 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 297-8890
(864) 297-5273
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11411
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114110
—
SC
Enumeration date
07/06/2006
Last updated
05/03/2016
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