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General NPI Number Information
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NPI Number | 1114181922
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Entity Type | Organization
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Legal Business Name | JAMES CHAMBLISS MD
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1701 E NORTH ST
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City | MAGNOLIA
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State | AR
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Zip | 71753-3204
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Country | US
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Telephone | 870-234-3802
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Fax | 870-234-7386
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Provider Business Mailing Address
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Address Line | 1701 E NORTH ST
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City | MAGNOLIA
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State | AR
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Zip | 71753-3204
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Country | US
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Telephone | 870-234-3802
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Fax | 870-234-7386
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ASHLEY CAMPBELL
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Credential |
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Telephone | 870-234-3802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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