Provider Demographics
NPI:1902039126
Name:CHEW, WAYNE ERIC (ST)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:ERIC
Last Name:CHEW
Suffix:
Gender:M
Credentials:ST
Other - Prefix:
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Mailing Address - Street 1:744 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:BROADWAY
Mailing Address - State:NC
Mailing Address - Zip Code:27505-8877
Mailing Address - Country:US
Mailing Address - Phone:919-258-0601
Mailing Address - Fax:919-258-0601
Practice Address - Street 1:744 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:BROADWAY
Practice Address - State:NC
Practice Address - Zip Code:27505-8877
Practice Address - Country:US
Practice Address - Phone:919-258-0601
Practice Address - Fax:919-258-0601
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist