Provider Demographics
NPI:1982216172
Name:CHABAI, JULIA LAUREN (PA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LAUREN
Last Name:CHABAI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 JAKE ALEXANDER BLVD W STE 103
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1385
Mailing Address - Country:US
Mailing Address - Phone:704-519-2366
Mailing Address - Fax:
Practice Address - Street 1:330 JAKE ALEXANDER BLVD W STE 103
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1385
Practice Address - Country:US
Practice Address - Phone:704-519-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant