Provider Demographics
NPI:1255614343
Name:CHAPMAN, GEORGIA FISHER (R PH)
Entity type:Individual
Prefix:MRS
First Name:GEORGIA
Middle Name:FISHER
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:MONETA
Mailing Address - State:VA
Mailing Address - Zip Code:24121-0278
Mailing Address - Country:US
Mailing Address - Phone:540-297-8640
Mailing Address - Fax:540-297-8650
Practice Address - Street 1:4860 RUCKER RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MONETA
Practice Address - State:VA
Practice Address - Zip Code:24121-5281
Practice Address - Country:US
Practice Address - Phone:540-297-8640
Practice Address - Fax:540-297-8650
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist