Healthcare Provider Details

I. General information

NPI: 1174590814
Provider Name (Legal Business Name): PAT R CHAPPELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CONNER DRIVE #101 CHAPEL HILL OBGYN
CHAPEL HILL NC
27514
US

IV. Provider business mailing address

120 CONNER DRIVE #101
CHAPEL HILL NC
27514
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-8571
  • Fax: 919-942-6355
Mailing address:
  • Phone: 919-942-8571
  • Fax: 919-942-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number33476
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: