Provider Demographics
NPI:1245765601
Name:KENNAMER-CHAPMAN, ROSS MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:MATTHEW
Last Name:KENNAMER-CHAPMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:833 CAMPBELL HILL ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1137
Mailing Address - Country:US
Mailing Address - Phone:770-218-1888
Mailing Address - Fax:770-218-0093
Practice Address - Street 1:175 COUNTRY CLUB DR BLDG 300D
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-0077
Practice Address - Country:US
Practice Address - Phone:770-907-9400
Practice Address - Fax:770-907-1213
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
MO2021010436207W00000X
GA95752207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology