Chappell, Anthony B.
Chappell, Anthony B. is an sole proprietor health care provider with primary practice located at 1076 Bermuda Run Road , Statesboro GA 30458-0858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chappell, Anthony B. can be contacted via phone (912) 871-7810.Contact Information
Primary practice address
1076 Bermuda Run Road
Statesboro GA 30458-0858
Phone: (912) 871-7810
Fax: (912) 871-7820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 049510 | Georgia |
Profile Details
NPI number | 1013908086 |
---|---|
LBN Legal business name | Chappell, Anthony B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2005 |
Last updated | Mar 19th, 2012 - about 12 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 | 1013908086 | NPPES |
Georgia | Other | 341954 | WELLCARE |
Georgia | Other | 702624 | WELLCARE |
Georgia | Other | 10062274 | WELLCARE |
Georgia | MEDICAID | 000891866A | WELLCARE |
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