Individual
CHASITY NICHOLE CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2159 HWY 9 WEST, DILLON, SC 29536
(843) 506-4067
Mailing address
PO BOX 397, LITTLE ROCK, SC 29567-0397
(843) 506-4067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251963
SC
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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