Individual
DR. ANTWON TRAMAINE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 CROOKED CREEK PKWY STE 110, DURHAM, NC 27713-8507
(919) 620-5333
Mailing address
234 CROOKED CREEK PKWY STE 110, DURHAM, NC 27713-8507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-00650
NC
208000000X
Pediatrics Physician
MD176915
OR
2080P0207X
Pediatric Hematology & Oncology Physician
MD176915
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2013
Last updated
05/14/2024
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