Healthcare Provider Details

I. General information

NPI: 1720002660
Provider Name (Legal Business Name): LINDSAY H CHASE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 MACNIDER HALL CB #7225 333 COLUMBIA ST
CHAPEL HILL NC
27599-2303
US

IV. Provider business mailing address

231 MACNIDER HALL CB7225 333 S COLUMBIA ST
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-2504
  • Fax: 919-966-3852
Mailing address:
  • Phone: 919-966-2504
  • Fax: 832-825-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2016-00106
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number201600106
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: