Provider Demographics
NPI:1417972795
Name:CHAPMAN, JAMES FEREL JR (PEDORTHIST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FEREL
Last Name:CHAPMAN
Suffix:JR
Gender:M
Credentials:PEDORTHIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 HIGHWAY 17 S
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-3707
Mailing Address - Country:US
Mailing Address - Phone:843-272-8080
Mailing Address - Fax:843-361-8442
Practice Address - Street 1:1238 HIGHWAY 17 S
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-3707
Practice Address - Country:US
Practice Address - Phone:843-272-8080
Practice Address - Fax:843-361-8442
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10311213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist