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NPI Code Detail

MEDICARE: SHANNON CHATMAN NP-C

MEDICARE: SHANNON CHATMAN NP-C
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
1363LF0000XFamily Nurse Practitioner153918GA

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 : 1538151253
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON CHATMAN NP-C
Provider Business Mailing Address
First Line : 58 BIG A ROAD
Second Line :
City : TOCCOA
State : GA
Zip : 30577-6017
Country : US
Telephone Number : 706-886-3148
Fax Number : 706-886-3843
Provider Business Practice Location Address
First Line : 58 BIG A RD
Second Line :
City : TOCCOA
State : GA
Zip : 30577-6017
Country : US
Telephone Number : 706-886-3148
Fax Number : 706-886-3843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 08/19/2015

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Directions to “ SHANNON CHATMAN NP-C” Practice Location

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