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Individual

JOSE MAURO CHAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92906
GA
207R00000X
Internal Medicine Physician
MD.49080
AL

Other

Enumeration date
03/30/2017
Last updated
07/12/2024
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