Provider Demographics
NPI:1043466691
Name:CHAMLEE, GINA SATTERFIELD (NP-C)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:SATTERFIELD
Last Name:CHAMLEE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1304 W BOBO NEWSOM HWY
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-4710
Mailing Address - Country:US
Mailing Address - Phone:843-339-2100
Mailing Address - Fax:
Practice Address - Street 1:7473-C HWY 22
Practice Address - Street 2:
Practice Address - City:WHISPERING PINES
Practice Address - State:NC
Practice Address - Zip Code:28289-6208
Practice Address - Country:US
Practice Address - Phone:910-215-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN145959363L00000X
NC5009801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA914758812AMedicaid
GA914758812BMedicaid
GA914758812BMedicaid