Individual
CHABLIS DANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 TENNESSEE AVE, CHARLOTTE, NC 28216-4077
(704) 649-8272
Mailing address
1012 ALLEN ST, CHARLOTTE, NC 28205-2750
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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