Individual
CHAD FREDRICK STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 581-3151
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3924
SC
Other
Enumeration date
02/05/2021
Last updated
08/02/2022
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