Provider Demographics
NPI:1841018199
Name:CHATTMAN, DOMONIQUE (CD)
Entity type:Individual
Prefix:
First Name:DOMONIQUE
Middle Name:
Last Name:CHATTMAN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9907 STEELE MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-4375
Mailing Address - Country:US
Mailing Address - Phone:704-756-0660
Mailing Address - Fax:
Practice Address - Street 1:9907 STEELE MEADOW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-4375
Practice Address - Country:US
Practice Address - Phone:704-756-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula