Healthcare Provider Details

I. General information

NPI: 1497731889
Provider Name (Legal Business Name): CHAPCO MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 HIGHWAY 17 S
NORTH MYRTLE BEACH SC
29582-3707
US

IV. Provider business mailing address

1238 HIGHWAY 17 S
NORTH MYRTLE BEACH SC
29582-3707
US

V. Phone/Fax

Practice location:
  • Phone: 843-272-8080
  • Fax: 843-361-8442
Mailing address:
  • Phone: 843-272-8080
  • Fax: 843-361-8442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES FEREL CHAPMAN JR.
Title or Position: PRESIDENT
Credential: PEDORTHIST
Phone: 843-272-8080