Provider Demographics
NPI:1437438835
Name:CHABRIER-ROSELLO, JORGE OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:OSCAR
Last Name:CHABRIER-ROSELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-5502
Mailing Address - Country:US
Mailing Address - Phone:912-650-5480
Mailing Address - Fax:912-650-5488
Practice Address - Street 1:16 KEMMERLIN LN STE A
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-2709
Practice Address - Country:US
Practice Address - Phone:843-524-2002
Practice Address - Fax:843-524-3522
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD37799207RN0300X
PR29698-R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine