Individual
DR. ANTONIO CHANTILL CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 410-0367
Mailing address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 410-0367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34988
OK
207P00000X
Emergency Medicine Physician
MD60587278
WA
207Q00000X
Family Medicine Physician
34988
OK
207Q00000X
Family Medicine Physician
49970
TN
207Q00000X
Family Medicine Physician
Primary
MD60587278
WA
Other
Enumeration date
03/29/2011
Last updated
01/03/2022
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