Organization
CHAPEL HILL INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE J CHAMBERLIN (PRACTICE ADMINISTRATOR)
(919) 951-0444
Entity
Organization
Contact information
Practice address
940 MARTIN LUTHER KING JR BLVD, CHAPEL HILL, NC 27514-2601
(919) 942-5123
(919) 942-5730
Mailing address
940 MARTIN LUTHER KING JR BLVD, CHAPEL HILL, NC 27514-2601
(919) 942-5123
(919) 942-5730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01263
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
06/17/2006
Last updated
06/24/2010
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