Individual
DR. CHRISTINE T CHIAVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1096 RIBAUT RD, BEAUFORT, SC 29902
(843) 524-5550
(843) 524-6798
Mailing address
1096 RIBAUT RD, BEAUFORT, SC 29902
(843) 524-5550
(843) 524-6798
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
17636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1193
—
SC
Enumeration date
09/08/2006
Last updated
07/08/2007
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