Individual
DR. DAVID CHADBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 PROFESSIONAL PARK DR, SENECA, SC 29678-2558
(864) 882-8074
Mailing address
PO BOX 887, ABBEVILLE, SC 29620-0887
(864) 366-7902
(864) 366-6062
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
101371-85
WI
208800000X
Urology Physician
Primary
81829
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10444433
CAQH
—
05
—
818299
—
SC
05
—
GP4449
—
SC
Enumeration date
10/03/2005
Last updated
06/18/2025
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