Individual
MR. GREGORY SCOTT CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5110 PARK RD, 1J, CHARLOTTE, NC 28209
(704) 496-9100
Mailing address
5110 PARK RD, 1J, CHARLOTTE, NC 28209
(704) 572-0154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCE657C866
MEDICARE PTAN
NC
Enumeration date
02/22/2006
Last updated
06/13/2014
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