Basic Information
Provider Information
NPI: 1356498067
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHELMINSKI
FirstName: ANN
MiddleName: NEWMAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 299 LLOYD ST
Address2:  
City: CARRBORO
State: NC
PostalCode: 275101821
CountryCode: US
TelephoneNumber: 9199338494
FaxNumber: 9199339201
Practice Location
Address1: 5270 UNION RIDGE RD
Address2:  
City: BURLINGTON
State: NC
PostalCode: 272177594
CountryCode: US
TelephoneNumber: 3364213247
FaxNumber: 3364213275
Other Information
ProviderEnumerationDate: 01/04/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X9901388NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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