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Individual

DR. JEANMARIE MCGEHEE CHAPPELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
115 MANNING DRIVE, SUITE A101, HUNTSVILLE, AL 35801
(256) 533-1030
(256) 533-1043
Mailing address
115 MANNING DRIVE, SUITE A101, HUNTSVILLE, AL 35801
(256) 533-1030
(256) 533-1043

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15741
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09351
BCBS PROVIDER NUMBER
AL
01
63-0654364
TAXPAYER ID NUMBER
AL
Enumeration date
11/09/2005
Last updated
01/03/2011
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