Chambers, Crandall Menton

Chambers, Crandall Menton is an sole proprietor health care provider with primary practice located at 811 22Nd St , Columbus GA 31904-8822. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Chambers, Crandall Menton can be contacted via phone (706) 323-1054.

Contact Information

Primary practice address
811 22Nd St Columbus GA 31904-8822
Fax: (706) 327-6270
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 043182 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43182 Georgia

Profile Details

NPI number 1831238427
LBN Legal business name Chambers, Crandall Menton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Sep 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831238427 NPPES
Georgia MEDICAID 000756401B
Georgia MEDICAID 0099336633

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