Individual
DR. JOSE D. CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 SURREY CT, COLUMBIA, SC 29212-3139
(803) 772-4172
(803) 772-4841
Mailing address
17 SURREY CT, COLUMBIA, SC 29212-3139
(803) 772-4172
(803) 772-4841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08636
—
SC
Enumeration date
05/19/2006
Last updated
06/23/2008
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