Organization
CHAVIS CHIROPRACTIC CLINIC OF MONROE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CHAVIS D.C. (PRESIDENT)
(704) 283-5599
Entity
Organization
Contact information
Practice address
1518 SARATOGA BLVD, INDIAN TRAIL, NC 28079-5749
(704) 628-0378
(704) 282-0317
Mailing address
2204 W ROOSEVELT BLVD, MONROE, NC 28110-2762
(704) 283-5599
(704) 282-0317
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085M6
BLUE CROSS/BLUE SHIELD
NC
01
—
2455493B
MEDICARE
NC
05
—
89085M6
—
NC
Enumeration date
05/06/2009
Last updated
02/02/2011
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