Individual
CARLY HANNAH CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 320-4410
(302) 428-4078
Mailing address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 320-4410
(302) 428-4078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0024178
DE
207QS0010X
Sports Medicine (Family Medicine) Physician
C2-0024178
DE
Other
Enumeration date
03/25/2019
Last updated
04/29/2024
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