Provider Demographics
NPI:1811785033
Name:CHAMBERS, DWAIN (MD)
Entity type:Individual
Prefix:
First Name:DWAIN
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CHIP
Other - Middle Name:
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1011 BROADLANDS DR
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-5119
Mailing Address - Country:US
Mailing Address - Phone:706-248-9747
Mailing Address - Fax:
Practice Address - Street 1:155 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3869
Practice Address - Country:US
Practice Address - Phone:864-725-4865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program