Individual
BILLY GEROME CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
BLDG 8450, 2ND AVE, FT. RUCKER, AL 36362
(334) 255-3570
Mailing address
4 S WISE ST, SAMSON, AL 36477-1339
(334) 726-1623
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
9701224
AL
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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