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Organization

CHATHAM MEDICAL SPECIALISTS

Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (SR. DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization

Contact information

Practice address
421 N HOLLY AVE, SILER CITY, NC 27344-3076
(919) 663-2874
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25476
NC

Other

Enumeration date
12/24/2009
Last updated
12/24/2009
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