Individual
PRIDE R CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021
(478) 272-1366
(478) 277-1922
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(478) 272-1366
(478) 277-1922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048495
GA
207R00000X
Internal Medicine Physician
ME150223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000864036D
—
GA
Enumeration date
01/05/2006
Last updated
07/10/2024
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