Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 656 | SC |
NPI | 1013393297 |
---|---|
Provider Name | Dr. Carly Chapman |
First Address | Columbia, SC 29201-2607 |
Second Address | Columbia, SC 29201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2015 |
Last Update Date | 24/05/2018 |