Park Thetford Chittom Ii M.D.

NPI 1093796047 - Internal Medicine - 207R00000X

NPI Details
NPI 1093796047
Gender Male
Enumeration Date 11/08/2005
Last Updated 01/21/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
509 PARKMAN AVE
SELMA AL, 36701-5734, US
Phone (334) 874-9064
Fax (334) 874-2633
Business Location
509 PARKMAN AVE
P.O. BOX 530
SELMA AL, 36701-5734, US
Phone (334) 874-9064
Fax (334) 874-2633
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number 21882
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According to our database, Park Thetford Chittom Ii M.D. NPI is 1093796047, taxonomy code is 207R00000X and license number is 21882, license state is located at Alabama. Park Thetford Chittom Ii M.D. physically located at 509 Parkman Ave, Selma AL, 36701-5734. NPI Number Park Thetford Chittom Ii M.D. has the Individual type.

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1093796047 NPI number is provided on an as is basis without warranty of any kind. 1093796047 is maintained by the National Plan & Provider Enumeration System. The contents of Park Thetford Chittom Ii M.D. are for informational purposes only.