Provider Demographics
NPI:1174590814
Name:CHAPPELL, PAT R (MD)
Entity type:Individual
Prefix:
First Name:PAT
Middle Name:R
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 CONNER DRIVE #101
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-942-8571
Mailing Address - Fax:919-942-6355
Practice Address - Street 1:120 CONNER DRIVE #101
Practice Address - Street 2:CHAPEL HILL OBGYN
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-942-8571
Practice Address - Fax:919-942-6355
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2014-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC33476207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1284186004OtherUHC
NC1533448OtherCIGNA
NC19040OtherBCBS
NC154776OtherWELLPATH
NC562142486OtherBEECHSTREET
NC8919404Medicaid
NC2909670OtherAETNA
NC41894OtherMEDCOST
NC213689COtherMEDICARE PDC
NC2909670OtherAETNA
E04309Medicare UPIN