Individual
SUSAN CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, NCSN
Contact information
Practice address
125 HERLONG AVE, ST MATTHEWS, SC 29135-1127
(803) 655-7310
Mailing address
1061 LONE STAR ROAD, CAMERON, SC 29030
(803) 826-6789
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
42970
SC
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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