Individual
MR. JOHNNY RAYMON CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 778-9500
Mailing address
129 NORTH WASHINGTON STREET, SUMTER, SC 29150
(803) 774-8726
(803) 774-9846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
23193 RNA 259
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
41988
SC
Other
Enumeration date
11/22/2005
Last updated
01/31/2012
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