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NPI Code Detail

MEDICARE: DR. DANIEL CHATHAM M.D.

MEDICARE: DR. DANIEL CHATHAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician50303TN

General Provider Information

NPI Number : 1356632269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL CHATHAM M.D.
Provider Business Mailing Address
First Line : 8110 WALNUT RUN RD
Second Line :
City : CORDOVA
State : TN
Zip : 38018-6362
Country : US
Telephone Number : 901-754-9600
Fax Number : 901-757-3554
Provider Business Practice Location Address
First Line : 8110 WALNUT RUN RD
Second Line :
City : CORDOVA
State : TN
Zip : 38018-6362
Country : US
Telephone Number : 901-754-9600
Fax Number : 901-757-3554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2011
Last Update Date : 06/16/2014

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Directions to “ DR. DANIEL CHATHAM M.D.” Practice Location

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