Individual
DR. JACK M CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(770) 535-1852
Mailing address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
(770) 535-1852
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035393
GA
207W00000X
Ophthalmology Physician
200300015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00508824A
—
GA
05
—
5914925
—
NC
Enumeration date
10/12/2005
Last updated
08/12/2015
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