NPI 1417497314

Wayne Chavis

Practitioner Physical Disabilities Residential Treatment Facility Fort Mill, SC

Practice location

Address: 7223 Kendallwood CT, Fort Mill, SC 29715-6219
Phone: (803) 357-1105

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 364SHO200X (SC)

Other Residential Treatment Facility, Physical Disabilities providers in South Carolina →

Registry record

NPI: 1417497314
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2017
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.