Autumn C Chisenhall
DO | Pediatrics | Female
Autumn C Chisenhall, DO is a Rocky Mount, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Autumn C Chisenhall is
91 Enterprise Dr, Rocky Mount, North Carolina - 27804-9590. She can be contacted on phone at
252-451-3100 and fax number 252-937-3106.
Autumn C Chisenhall is a sole proprietor of her business.
NPI number (Unique professional ID) for Autumn C Chisenhall is
1427519149 which was assigned by NPPES on 26 Mar, 2019 and it was last updated on 10 Feb, 2023.
Autumn C Chisenhall license number is
2022-01170 for Pediatrics (208000000X) in North Carolina.
Autumn C Chisenhall is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Autumn C Chisenhall basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Autumn C Chisenhall |
|---|
| Credential : | DO |
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| Gender : | Female |
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Business Address:
Autumn C Chisenhall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 91 Enterprise Dr
Rocky Mount, NC, 27804-9590
United States |
|---|
| Phone Number : | 252-451-3100 |
|---|
| Fax Number : | 252-937-3106 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427519149 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Mar, 2019 |
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| Last Updated On : | 10 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Autumn C Chisenhall are as mentioned. Primary taxonomy code for Autumn C Chisenhall, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 2022-01170 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Autumn C Chisenhall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1427519149 | MEDICAID | NC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
800 PENNSYLVANIA AVE,
CHARLESTON, WV, 25302-3351
United States | CHARLESTON, WV | 304-414-1880 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 91 Enterprise Dr
Rocky Mount, NC, 27804-9590
United States |
|---|
| Phone Number : | 252-451-3100 |
|---|
| Fax Number : | 252-937-3106 |
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Business Location:
Patients can refer following map for directions to
Autumn C Chisenhall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.