Individual
CHASETON NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 CARTHAGE ST, SANFORD, NC 27330-4104
(919) 774-6518
Mailing address
555 CARTHAGE ST, SANFORD, NC 27330-4104
(919) 774-6518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00478
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
03/16/2018
Last updated
06/28/2021
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