Individual
CASEY JO CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401
(910) 343-7000
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14405
NC
363A00000X
Physician Assistant
01678
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629322524
—
WV
Enumeration date
10/31/2012
Last updated
10/14/2024
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