MEDICARE: MR. JAMES FEREL CHAPMAN JR. PEDORTHIST

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
1	213E00000X	Podiatrist	10311	SC

General Provider Information

NPI Number	:	1417972795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES FEREL CHAPMAN JR. PEDORTHIST

Provider Business Mailing Address
First Line	:	1238 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-3707
Country	:	US
Telephone Number	:	843-272-8080
Fax Number	:	843-361-8442

Provider Business Practice Location Address
First Line	:	1238 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-3707
Country	:	US
Telephone Number	:	843-272-8080
Fax Number	:	843-361-8442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. JAMES FEREL CHAPMAN JR. PEDORTHIST” Practice Location

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