Healthcare Provider Details

I. General information

NPI: 1730152687
Provider Name (Legal Business Name): CHALMERS ARNOLD MILLS P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 BOILING SPRINGS RD
SPARTANBURG SC
29303-2248
US

IV. Provider business mailing address

1075 BOILING SPRINGS RD
SPARTANBURG SC
29303-2248
US

V. Phone/Fax

Practice location:
  • Phone: 864-583-7265
  • Fax: 864-591-0422
Mailing address:
  • Phone: 864-583-7265
  • Fax: 864-591-0422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberA535NS
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: