Individual
MATILDE N. CHAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 2300, AIKEN, SC 29801-6807
(803) 335-1219
(803) 335-1689
Mailing address
410 UNIVERSITY PKWY, SUITE 2300, AIKEN, SC 29801-6807
(803) 335-1219
(803) 335-1689
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
009202
SC
2084P0800X
Psychiatry Physician
Primary
9202
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092027
—
SC
Enumeration date
06/29/2007
Last updated
03/18/2015
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