Individual
JULIE MATHIS CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 534-8998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004724
GA
363AM0700X
Medical Physician Assistant
Primary
004724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10044741
AMERIGROUP
GA
01
—
336028
WELLCARE
GA
01
—
336473
WELLCARE
GA
01
—
336474
WELLCARE
GA
01
—
336475
WELLCARE
GA
05
—
753407610A
—
GA
05
—
753407610B
—
GA
05
—
753407610C
—
GA
05
—
753407610D
—
GA
Enumeration date
05/31/2006
Last updated
08/17/2023
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