Individual
MATTHEW CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 378-3783
Mailing address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-5017
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
07/01/2023
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