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Individual

MELVIN C CHAMBLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CFTS

Contact information

Practice address
601 E MEMORIAL DR, AHOSKIE, NC 27910-3935
(252) 332-8081
(252) 332-8091
Mailing address
601 E MEMORIAL DR, AHOSKIE, NC 27910-3935
(252) 332-8081
(252) 332-8091

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFTS0755
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7703460
NC
Enumeration date
08/24/2009
Last updated
08/24/2009
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