Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 029423 | GA |
N | 207RC0200X | Critical Care Medicine | 029423 | GA |
N | 2086S0102X | Surgical Critical Care | 029423 | GA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 029423 | GA |
NPI | 1346431137 |
---|---|
Provider Name | Dr. James Earl Chapman JR. |
First Address | Macon, GA 31211-1330 |
Second Address | Cartersville, GA 30120-2486 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 18/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003488246A | (05) | GA |
D32132 | (02) | GA |