Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WAYNE CHAVIS
Active Sole ProprietorMR. WAYNE CHAVIS is a Physical Disabilities Residential Treatment Facility healthcare provider located in FORT MILL, South Carolina. NPI 1417497314 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · FORT MILL, SC
Registration Details
- NPI Number
- 1417497314
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2017 (9.2780572547507 yrs)
- Last Updated
- Feb 27, 2017
- License
-
364SHO200X (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7223 KENDALLWOOD CTFORT MILL, SC, 297156219Browse SC providers · Browse ZIP 29715
- Phone
- 8033571105
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.