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1134654338
CHESTNUT FAMILY PRACTICE, PLLC
MATTHEWS, NC
NPI
1134654338
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Entity Type
Organization
Authorized Contact
SUSAN ELISE LADD-SNIVELY
Owner
704-268-9267
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: NC 220342)
Enumeration Date
2017-04-25
Last Update Date
2017-05-01
Business Address
CHESTNUT FAMILY PRACTICE, PLLC
1013 CHESTNUT LN SUITE 110
MATTHEWS, NC 28104-8566
Phone number: 704-268-9267
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Mailing Address
CHESTNUT FAMILY PRACTICE, PLLC
1013 CHESTNUT LN SUITE 110
MATTHEWS, NC 28104-8566
Phone number: 704-268-9267
Copy
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