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Individual

MICHAEL CHAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
400 VETERANS AVE, SURGICAL SERVICE (112), BILOXI, MS 39531
(228) 523-5000
Mailing address
400 VETERANS AVE, SURGICAL SERVICE (112), BILOXI, MS 39531-2410
(228) 523-5000

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO391
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104168-00
DC
Enumeration date
08/01/2006
Last updated
07/02/2018
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