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NPI Code Detail

MEDICARE: DR. PATRICIA A CHAMBLISS M.D.

MEDICARE: DR. PATRICIA A CHAMBLISS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianD47563MD

General Provider Information

NPI Number : 1346245834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA A CHAMBLISS M.D.
Provider Business Mailing Address
First Line : 1111BENFIELD BOULEVARD
Second Line : SUITE 200
City : MILLERSVILLE
State : MD
Zip : 21108
Country : US
Telephone Number : 410-729-5100
Fax Number :
Provider Business Practice Location Address
First Line : 24 MAGOTHY BEACH RD STE A
Second Line :
City : PASADENA
State : MD
Zip : 21122-4414
Country : US
Telephone Number : 410-255-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/17/2013

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