Individual
DR. DAVID G CHASE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL ST, SUITE 300, BOONEVILLE, MS 38829-3354
(668) 728-2147
(662) 720-3050
Mailing address
965 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9401
(901) 227-4692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
07824
MS
207RP1001X
Pulmonary Disease Physician
Primary
07824
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015803
—
MS
Enumeration date
03/20/2006
Last updated
01/28/2025
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