Provider Demographics
NPI:1043767817
Name:CHALMERS, CAMILLE J (MS)
Entity type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:J
Last Name:CHALMERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12108 BERMUDA CROSSROAD LN
Mailing Address - Street 2:SUITE 13
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-2451
Mailing Address - Country:US
Mailing Address - Phone:804-402-0497
Mailing Address - Fax:
Practice Address - Street 1:12108 BERMUDA CROSSROAD LN
Practice Address - Street 2:SUITE 13
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-2451
Practice Address - Country:US
Practice Address - Phone:804-402-0497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management