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Search › Alabama › 183500000X

Chandler Cupp

NPI 1164250544 · on the registry since 2024 · sole proprietor

Practice

Address
1625 Pelham Rd S
Jacksonville, AL 36265
Phone
(256) 435-1071
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama