Provider Demographics
NPI:1952393274
Name:MARLEY, CHAD T (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:T
Last Name:MARLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 EAST HOSPITAL ROAD
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:FT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905
Mailing Address - Country:US
Mailing Address - Phone:706-787-8322
Mailing Address - Fax:706-787-9124
Practice Address - Street 1:300 EAST HOSPITAL ROAD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:FT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-8322
Practice Address - Fax:706-787-9124
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2020-02-10
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Provider Licenses
StateLicense IDTaxonomies
IN01056055A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine