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CRANDALL M. CHAMBERS M.D. LLC NPI 1396953790


NPI Information

NPI: 1396953790
Provider Name: CRANDALL M. CHAMBERS, M.D., LLC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 11D2258769

Address:
811 22ND ST
COLUMBUS, GA
ZIP 31904
Phone: (706) 323-1054
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CRANDALL M. CHAMBERS, M.D., LLC is an obstetrics obstetrics gynecology in Columbus, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee CRANDALL M. CHAMBERS, M.D., LLC NPI is 1396953790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

811 22ND ST
COLUMBUS, GA
ZIP 31904-822
Phone: (706) 323-1054
Fax: (706) 327-6270

The provider's authorized official is Crandall Menton Chambers .
The authorized official title is Physician Owner and has the following contact phone number (706) 323-1054.

The CLIA number assigned to this NPI record is 11D2258769 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetrics043182GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10099336633MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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