Individual
CHAZ MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
324 1/2 N 19TH ST, MIDDLESBORO, KY 40965-1762
(606) 248-4949
(606) 248-6894
Mailing address
324 1/2 N 19TH ST, MIDDLESBORO, KY 40965-1762
(606) 248-4949
(606) 248-6894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
12/02/2025
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