Individual
MAKAYLA GRACE CHALACOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7000
Mailing address
513 STONERIVER DR, BIRMINGHAM, AL 35211-4556
(770) 280-5367
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2290
AL
Other
Enumeration date
02/08/2024
Last updated
02/28/2024
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