Provider Demographics
NPI:1629395579
Name:CHAUMONT, NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CHAUMONT
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPT OF SURGERY CB#7050
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-4653
Mailing Address - Fax:919-966-7841
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:DEPT OF SURGERY CB#7050
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:919-966-7841
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2018-05-25
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Provider Licenses
StateLicense IDTaxonomies
NC165046208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery