MEDICARE: JULIA LAUREN CHABAI PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1982216172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA LAUREN CHABAI PA

Provider Business Mailing Address
First Line	:	330 JAKE ALEXANDER BLVD W STE 103
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-1385
Country	:	US
Telephone Number	:	704-519-2366
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 JAKE ALEXANDER BLVD W STE 103
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-1385
Country	:	US
Telephone Number	:	704-519-2366
Fax Number	:

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

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	09/05/2024

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Directions to “ JULIA LAUREN CHABAI PA” Practice Location

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