Individual
MS. CHANTEL NICOLE CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
118 COLLEGE DR # 5114, HATTIESBURG, MS 39406-0001
(228) 214-3319
(228) 214-3272
Mailing address
118 COLLEGE DR # 5114, HATTIESBURG, MS 39406-0001
(228) 214-3319
(228) 214-3272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1689
MS
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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