Provider Demographics
NPI:1639294143
Name:CHESNEY, MERILEE DAWN (MED)
Entity Type:Individual
Prefix:MS
First Name:MERILEE
Middle Name:DAWN
Last Name:CHESNEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 OLD CHESTNUT XING
Mailing Address - Street 2:
Mailing Address - City:MONCURE
Mailing Address - State:NC
Mailing Address - Zip Code:27559-9273
Mailing Address - Country:US
Mailing Address - Phone:919-542-2875
Mailing Address - Fax:
Practice Address - Street 1:362 WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9448
Practice Address - Country:US
Practice Address - Phone:919-542-2368
Practice Address - Fax:919-542-7451
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist