MEDICARE: DAVID CHAPPELL CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	3885	SC
2	367500000X	Certified Registered Nurse Anesthetist	7507	NC
3	363LF0000X	Family Nurse Practitioner	3885	SC

General Provider Information

NPI Number	:	1447494356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHAPPELL CRNA

Provider Business Mailing Address
First Line	:	121 BAYERL DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-3167
Country	:	US
Telephone Number	:	803-603-6622
Fax Number	:

Provider Business Practice Location Address
First Line	:	2631 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2363
Country	:	US
Telephone Number	:	803-603-6622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	10/14/2024

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