Individual
RICHARD CHAZ CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE, RM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-2632
(843) 792-1414
Mailing address
169 ASHLEY AVENUE, RM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-2632
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LL92743
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
03/30/2023
Last updated
06/28/2024
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