Doctor Name: | MARC CHATMAN |
NPI Number: | 1164883054 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 1-114593 |
Business Practice Address: | 849 S Three Notch St Andalusia, AL - 364205325 |
Business Phone Number: | 3342228466 |
Business Fax Number: | |
Mailing Address: | Po Box 760, ANDALUSIA |
State: | AL |
Postal Code: | 364201214 |
Phone Number: | 3342228466 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2016 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-114593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |