Robert Chavis, ATC
Specialist/Technologist, Athletic Trainer in Atlanta, GA. Individual provider (NPI-1).
NPI number1053973313
StatusActive
Last updated in NPPESJul 7, 2019
Details
- NPI
- 1053973313
- Entity type
- Individual (NPI-1)
- Name
- Robert Chavis
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2019
- Last updated
- Jul 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
150 Bobby Dodd Way Edge Building Athletic Training RoomAtlanta, GA 30332-0001
Phone 404-849-5460
Mailing address
2905 Bainbridge Dr Apt GDurham, NC 27713-1448
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