Individual
DANIELLE NICOLE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
Mailing address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07817
NC
Other
Enumeration date
01/12/2018
Last updated
10/19/2023
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