Individual
ANDRE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 FLAT SHOALS ROAD SE, CONYERS, GA 30013
(404) 492-6502
Mailing address
1805 FLAT SHOALS ROAD SE, CONYERS, GA 30013
(404) 492-6502
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
054770163
GA
347C00000X
Private Vehicle
Primary
054770163
GA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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