Individual
CHELSEA GEBS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 OWEN DR, FAYETTEVILLE, NC 28304-3411
(910) 323-3183
(910) 745-8478
Mailing address
2064 BELLA BREEZE CT, NAVARRE, FL 32566-3016
(804) 350-2209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11109
NC
363A00000X
Physician Assistant
PA9113351
FL
Other
Enumeration date
04/23/2019
Last updated
03/03/2021
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