Individual
CHRISTINA MARIE CHACONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101053785
VA
2085R0202X
Diagnostic Radiology Physician
20802
SC
2085R0202X
Diagnostic Radiology Physician
49725
TN
2085R0202X
Diagnostic Radiology Physician
72652
GA
2085R0202X
Diagnostic Radiology Physician
Primary
98-00490
NC
2085R0202X
Diagnostic Radiology Physician
ME120133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7911263
—
NC
Enumeration date
06/15/2005
Last updated
12/20/2017
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