Individual
MARCO CHAVARRIA-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1409 ASHEVILLE HWY, BREVARD, NC 28712-9524
(828) 435-8490
(828) 435-8401
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2016-00176
NC
208C00000X
Colon & Rectal Surgery Physician
2016-00176
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19JF5
BCBS
NC
01
—
3813585
CIGNA
NC
01
—
7617141
PRIME HEALTH SERVICES
NC
01
—
8312689
PRIME HEALTH SERVICES
NC
01
—
NCT527B
MEDICARE PTAN
NC
Enumeration date
09/08/2005
Last updated
04/26/2021
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