Individual
KAMIYAL SHAVONDAR CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
7701 CREEKRIDGE RD APT 1005, CHARLOTTE, NC 28212-0175
(980) 447-3070
(704) 448-2080
Mailing address
4919 ALBEMARLE RD STE 105, CHARLOTTE, NC 28205-6653
(980) 447-3070
(704) 448-2050
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
330338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-1626733
—
NC
Enumeration date
06/29/2021
Last updated
06/29/2021
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