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
Fax: (912) 871-7820
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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