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NPI Code Detail

MEDICARE: DR. SHERRI H CHAFIN MD

MEDICARE:  DR. SHERRI H CHAFIN  MD
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
12085R0202XDiagnostic Radiology PhysicianMD063657LPA
22085R0202XDiagnostic Radiology PhysicianME91709FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528052727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRI H CHAFIN MD
Provider Business Mailing Address
First Line : PO BOX 678589
Second Line :
City : DALLAS
State : TX
Zip : 75267-8589
Country : US
Telephone Number : 800-841-4236
Fax Number : 706-653-1230
Provider Business Practice Location Address
First Line : 1800 BARRS ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4704
Country : US
Telephone Number : 904-388-2556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 02/23/2017

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Directions to “ DR. SHERRI H CHAFIN MD” Practice Location

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