MEDICARE: ERICA CHAMBERS PA-C

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363AS0400X	Surgical Physician Assistant
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1639790363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA CHAMBERS PA-C

Provider Business Mailing Address
First Line	:	2516 SHERIDAN RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2516 SHERIDAN RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5265
Country	:	US
Telephone Number	:	202-610-6106
Fax Number	:

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

Provider Enumeration Date	:	05/05/2020
Last Update Date	:	06/18/2022

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