Individual
MR. WALTER RONALD CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
595 W WESMARK BLVD, SUMTER, SC 29150-1969
(803) 469-4028
(803) 469-2663
Mailing address
595 W WESMARK BLVD, SUMTER, SC 29150-1969
(803) 469-4028
(803) 469-2663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1017944
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1226
—
SC
Enumeration date
08/20/2007
Last updated
08/20/2007
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