Healthcare Provider Details

I. General information

NPI: 1558365049
Provider Name (Legal Business Name): DEBORAH J CHAMBERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 BEEKS RD
BELTON SC
29627-8105
US

IV. Provider business mailing address

312 BEEKS RD
BELTON SC
29627-8105
US

V. Phone/Fax

Practice location:
  • Phone: 814-221-9512
  • Fax:
Mailing address:
  • Phone: 814-221-9512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number34703
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number74480
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34703
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: