Provider Demographics
NPI:1619755667
Name:ESTRIDGE, CHELSEY ANNE
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:ANNE
Last Name:ESTRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4932 HOBBS HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8566
Mailing Address - Country:US
Mailing Address - Phone:704-516-1811
Mailing Address - Fax:
Practice Address - Street 1:129 N POPLAR ST FL 2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-1634
Practice Address - Country:US
Practice Address - Phone:704-516-1811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other