| Organization Name: | MICHAEL W. CHANCELLOR, M.D., PLLC |
| NPI Number: | 1902089964 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL W CHANCELLOR (OWNER) |
| Mailing Address: | 3425 S Atlantic Ave Apt 906 Daytona Beach Shores |
| State: | FL US |
| Postal Code: | 321186363 |
| Phone Number: | 4798319545 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2007 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | E-5444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |