Individual
ANTHONY B. CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1076 BERMUDA RUN ROAD, STATESBORO, GA 30458-0858
(912) 871-7810
(912) 871-7820
Mailing address
1076 BERMUDA RUN ROAD, STATESBORO, GA 30458-0858
(912) 871-7810
(912) 871-7820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
049510
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891866A
—
GA
01
—
10062274
AMERIGROUP
GA
01
—
341954
WELLCARE
GA
01
—
702624
BCBS
GA
Enumeration date
10/31/2005
Last updated
03/19/2012
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