| Doctor Name: | JACK CHANDLEY CHAPMAN |
| NPI Number: | 1033240684 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSG.T |
| License Number: | 2472E0500X |
| Business Practice Address: | 7950 Martin Loop Fort Benning, GA - 319055647 |
| Business Phone Number: | 8888849493 |
| Business Fax Number: | |
| Mailing Address: | 725 Andrea Dr, COLUMBUS |
| State: | GA |
| Postal Code: | 319075214 |
| Phone Number: | 7063661479 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2472E0500X |
| License Number: | 2472E0500X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Other |
| Taxonomy Specialization: | EEG |
| Taxonomy Definition: | |