Individual
MR. WILLIAM G CHISM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 KEVIN LN, CLANTON, AL 35045-9612
(205) 755-1195
Mailing address
109 KEVIN LN, CLANTON, AL 35045-9612
(205) 755-1195
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
6698
AL
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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