Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2020-00823 | NC |
N | 208000000X | Pediatrician | 83643 | SC |
NPI | 1003934951 |
---|---|
Provider Name | Donald Chapman JR. |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28211-2803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 27/09/2021 |