Individual
GEORGETTE CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
711 S PARSONAGE ST, BENNETTSVILLE, SC 29512-4423
(843) 479-6801
Mailing address
711 S PARSONAGE ST, BENNETTSVILLE, SC 29512-4423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42820
SC
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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