Individual
CAROLINE DANA CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04860
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518382811
—
NC
05
—
1868PA
—
SC
Enumeration date
02/23/2014
Last updated
11/08/2018
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