Park Thetford Chittom II, M.D.

NPI #1093796047 in Selma, Alabama

Provider Information

NPI Number
1093796047
Entity Type
Individual
Name
Park Thetford Chittom II, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Nov 8, 2005
Last Updated
Jan 21, 2008

Practice Location

Address
509 PARKMAN AVE
City
Selma
State
Alabama
ZIP Code
36701-5734
Phone
(334) 874-9064

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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