Park Thetford Chittom, M.D.

NPI #1164413308 in Selma, Alabama

Provider Information

NPI Number
1164413308
Entity Type
Individual
Name
Park Thetford Chittom, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Nov 4, 2005
Last Updated
Jan 25, 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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