MEDICARE: DR. JAMES LLOYD CHAPPUIS 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
1	207X00000X	Orthopaedic Surgery Physician	029604	GA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	029604	GA

General Provider Information

NPI Number	:	1891776159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES LLOYD CHAPPUIS M.D.

Provider Business Mailing Address
First Line	:	3161 HOWELL MILL RD NW
Second Line	:	SUITE 400
City	:	ATLANTA
State	:	GA
Zip	:	30327-2102
Country	:	US
Telephone Number	:	404-351-5812
Fax Number	:	404-351-6017

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW
Second Line	:	SUITE 229
City	:	ATLANTA
State	:	GA
Zip	:	30327-4111
Country	:	US
Telephone Number	:	404-351-5812
Fax Number	:	404-351-6017

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	11/30/2007

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