Individual
THOMAS JOSEPH CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 INTERSTATE PARK DR STE 609, MONTGOMERY, AL 36109-5474
(334) 399-7386
Mailing address
600 INTERSTATE PARK DR STE 609, MONTGOMERY, AL 36109-5474
(334) 399-7386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3673
AL
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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