Individual
CARLOS CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2986 US HIGHWAY 431, BOAZ, AL 35957-5848
(256) 840-8181
(256) 744-7290
Mailing address
PO BOX 697, BOAZ, AL 35957-0697
(256) 840-8181
(256) 744-7290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1131572
AL
Other
Enumeration date
11/16/2016
Last updated
03/17/2018
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