Individual
ALFREDO MARTINEZ CHAVIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
439 FLORENCE AVE, DALTON, GA 30720-5684
(706) 934-4096
Mailing address
439 FLORENCE AVE, DALTON, GA 30720-5684
(706) 934-4096
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-461
WI
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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