Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD27945 | TN |
NPI | 1053309492 |
---|---|
Provider Name | Dr. David Maurice Chatman |
First Address | Murfreesboro, TN 37129-2598 |
Second Address | Murfreesboro, TN 37129-2598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 25/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3801481 | (05) | TN |
F89095 | (02) | TN |