Individual
CASEY CHRISTOPHER CHUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-6500
(336) 890-3290
Mailing address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-00324
NC
207Q00000X
Family Medicine Physician
LL86120
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/21/2021
Last updated
08/02/2024
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