MEDICARE: DR. CRAIG THOMAS MORGAN CHEPKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2009-00088	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01315157	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	153KP	OTHER	NC	BCBS OF NC

General Provider Information

NPI Number	:	1831363712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG THOMAS MORGAN CHEPKE M.D.

Provider Business Mailing Address
First Line	:	10225 HICKORYWOOD HILL AVE STE B
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3431
Country	:	US
Telephone Number	:	704-457-9292
Fax Number	:	704-274-5783

Provider Business Practice Location Address
First Line	:	10225 HICKORYWOOD HILL AVE STE B
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3431
Country	:	US
Telephone Number	:	704-457-9292
Fax Number	:	704-274-5783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	01/07/2022

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