Individual
MR. KEITH EDWIN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
23 LEE ST, JEFFERSON, GA 30549-1345
(706) 367-5221
(706) 367-4036
Mailing address
300 CRYSTAL CREEK DR, HULL, GA 30646-4302
(706) 207-8086
(706) 367-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18318
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18318
STATE LICENSE
GA
Enumeration date
04/20/2006
Last updated
11/18/2020
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