Individual
MR. MANUEL CHAVEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-7050
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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