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DR. JAMES WILLIAM CHAMBLISS M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1285856971
Individual Registrant:DR. JAMES WILLIAM CHAMBLISS M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1701 E NORTH ST MAGNOLIA, AR 71753-3204 US
Tel: 870-234-3802 Fax: 870-234-7386
Tel: 870-234-3802 Fax: 870-234-7386
Contact information for business:
1701 E NORTH ST MAGNOLIA, AR 71753-3204 US
Tel: 870-234-3802 Fax: 870-234-7386
Tel: 870-234-3802 Fax: 870-234-7386
Registration Information:
NPI: 1285856971
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AR | AR-E-5146 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AR | E5146 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 166053001 | AR | 05 |
