Individual
JACK CHANDLEY CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSG.T
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(888) 884-9493
Mailing address
725 ANDREA DR, COLUMBUS, GA 31907-5214
(706) 366-1479
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
2472E0500X
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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