Individual
MR. REGIS JOEL CHAUVOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10 HOSPITAL ST, MANNING, SC 29102-0550
(803) 435-8463
(803) 435-3196
Mailing address
PO BOX 550, MANNING, SC 29102-0550
(803) 435-8463
(803) 435-3196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN372
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA37309
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178206
UNISON
SC
01
—
20045748
SELECT HEALTH
SC
05
—
AN0582
—
SC
01
—
P00322348
RR MEDICARE
—
Enumeration date
11/30/2007
Last updated
05/11/2011
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