Individual
DR. JONATHAN D CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
(919) 232-5021
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
200700639
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200700639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007-00639
NC MEDICAL LICENSE
NC
01
—
A95831
LICENSE
CA
Enumeration date
02/06/2007
Last updated
02/17/2021
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