Individual
CHELSIE LEIGH INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4130
SC
363AS0400X
Surgical Physician Assistant
Primary
4130
SC
Other
Enumeration date
09/29/2021
Last updated
04/20/2026
Update your record
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