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Individual

ANTHONY CHAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 60968, CHARLOTTE, NC 28260-0968
(843) 237-3378
(843) 237-5073

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101676
NC

Other

Enumeration date
04/13/2006
Last updated
07/08/2007
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