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MR. JOHN FREDERICK CHAMBLISS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MS PAC

Contact information

Practice address
59 ONE MILE RD, STE G, EAST WINDSOR, NJ 08520
(609) 443-4500
(609) 443-4808
Mailing address
2400 BELLEVUE RD, STE 21A, DUBLIN, GA 31021-2890
(478) 328-0281
(478) 328-0438

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10785
GA
363A00000X
Physician Assistant
Primary
25MP00040300
NJ
363AS0400X
Surgical Physician Assistant
10785
GA

Other

Enumeration date
02/27/2006
Last updated
10/12/2022
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