Provider Demographics
NPI:1558386805
Name:CHAPMAN, NATHAN L (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:L
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:49 BRYANT ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-1489
Mailing Address - Country:US
Mailing Address - Phone:706-253-9070
Mailing Address - Fax:706-253-4356
Practice Address - Street 1:49 BRYANT ST
Practice Address - Street 2:SUITE F
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1489
Practice Address - Country:US
Practice Address - Phone:706-253-9070
Practice Address - Fax:706-253-4356
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJLDMedicare PIN
GAV07322Medicare UPIN