Individual
JEFFREY BEECHAM CHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 PORCHES DR, SUITE 2, WILMINGTON, NC 28409
(315) 727-6084
(315) 579-2561
Mailing address
JEFFREY B. CHICK M.D., 1201 PORCHES DR, WILMINGTON, NC 28409
(315) 579-2560
(315) 579-2561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
127721-1
NY
207VG0400X
Gynecology Physician
Primary
127721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570434
—
NY
Enumeration date
09/20/2006
Last updated
01/11/2019
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