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
Phone: (706) 323-1054
Fax: (706) 327-6270
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831238427 | NPPES |
Georgia | MEDICAID | 000756401B | |
Georgia | MEDICAID | 0099336633 |
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