Provider Demographics
NPI:1821120007
Name:BASKIN, NANETTE CHAPMAN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANETTE
Middle Name:CHAPMAN
Last Name:BASKIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 ASHLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-4204
Mailing Address - Country:US
Mailing Address - Phone:912-897-4732
Mailing Address - Fax:
Practice Address - Street 1:2022 ASHLEY RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-4204
Practice Address - Country:US
Practice Address - Phone:912-897-4732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA013156261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center