Mr. Wayne Chavis

Individual provider Physical Disabilities Residential Treatment Facility · NPI 1417497314

Mr. Wayne Chavis is a Physical Disabilities Residential Treatment Facility in Fort Mill, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in: SC
In the registry since: 2017

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Practice location Address checks out

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

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary)	Taxonomy 320700000X · Licence 364SHO200X (SC)

Record details

NPI number	1417497314
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	February 27, 2017
Last updated in NPPES	February 27, 2017