NPI 1033240684

Jack Chandley Chapman, PSGT

Practitioner EEG Technician Fort Benning, GA

Practice location

Address: 7950 Martin Loop, Fort Benning, GA 31905-5647
Phone: (888) 884-9493
Mailing address: 725 Andrea Dr, Columbus, GA 31907-5214

Registered specialties

EEG Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2472E0500X Licence 2472E0500X

Other Technician, Other providers in Georgia →

Registry record

NPI: 1033240684
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.