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1629488879
PRAVIN PHILIP CHACKO
GREENVILLE, NC
NPI
1629488879
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Other Name
FNU PRAVIN PHILIP CHACKO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MT205563)
Enumeration Date
2014-04-28
Last Update Date
2021-05-12
Business Address
Mr. PRAVIN PHILIP CHACKO M.D
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4100
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Mailing Address
Mr. PRAVIN PHILIP CHACKO M.D
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4100
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