Individual
JEFFERY CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 LEONARD AVENUE, ALBEMARLE, NC 28001
(704) 550-0050
Mailing address
703 LEONARD AVENUE, ALBEMARLE, NC 28001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101107
NC
Other
Enumeration date
10/07/2005
Last updated
01/04/2019
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