Organization
CAROL W. CHAPPELL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA JEANNE COLGLAZIER (OFFICE MANAGER)
(501) 661-1123
Entity
Organization
Contact information
Practice address
5 SAINT VINCENT CIR, SUITE 200, LITTLE ROCK, AR 72205-5412
(501) 661-1123
(501) 661-0046
Mailing address
5 SAINT VINCENT CIR, SUITE 200, LITTLE ROCK, AR 72205-5412
(501) 661-1123
(501) 661-0046
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C4804
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14216000000
QUALCHOICE OF ARKANSAS
—
01
—
180002066
RAILROAD MEDICARE
—
01
—
50981
BLUE CROSS &BLUE SHIELD
AR
Enumeration date
06/23/2008
Last updated
06/23/2008
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