Individual provider · NPI-1

Dr. Chanson Albert Devaul, D.O.

Family Medicine · Wilson, NC

NPI number1841248168
StatusActive
Last updated in NPPESOct 26, 2015

Details

NPI
1841248168
Entity type
Individual (NPI-1)
Name
Dr. Chanson Albert Devaul
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2006
Last updated
Oct 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine9400464NCYes

Practice location

1725 Tarboro St Sw
Wilson, NC 27893-3428

Phone 252-237-2891 · Fax 252-237-0115

Mailing address

1725 Tarboro St Sw
Wilson, NC 27893-3428

Phone 252-237-2891 · Fax 252-237-0115

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Wilson, NC