MR. Michael Stephen Chammoun, PA

NPI #1962404541 in Valdosta, Georgia

Provider Information

NPI Number: 1962404541
Entity Type: Individual
Name: MR. Michael Stephen Chammoun, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 12, 2005
Last Updated: Mar 25, 2010

Practice Location

Address: 2310 N PATTERSON ST
Address 2: BLDG D
City: Valdosta
State: Georgia
ZIP Code: 31602-2568
Phone: (229) 247-2482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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