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Dedra Chavis

NPI 1376048462 · on the registry since 2018 · sole proprietor

Practice

Address
3024 White Rail Dr
Fuquay Varina, NC 27526
Phone
(970) 400-1829

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
NC, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina