Individual
CHAD P CHEAVIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 LAURA DR STE D, THIBODAUX, LA 70301-2988
(985) 446-4114
(985) 446-4112
Mailing address
PO BOX 29, THIBODAUX, LA 70302-0029
(985) 446-4114
(985) 446-4112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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