Individual provider · NPI-1

Pride R Chapman, MD

Internal Medicine · Dublin, GA

NPI number1043298524
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1043298524
Entity type
Individual (NPI-1)
Name
Pride R Chapman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 5, 2006
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine048495GAYes
207R00000X Internal MedicineME150223FL

Practice location

104 Fairview Park Dr
Dublin, GA 31021

Phone 478-272-1366 · Fax 478-277-1922

Mailing address

Po Box 407
Vidalia, GA 30475-0407

Phone 478-272-1366 · Fax 478-277-1922

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