Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM WADE CHANCELLOR, LDO,ABOC,NCLEC
Active Sole ProprietorWILLIAM WADE CHANCELLOR, LDO,ABOC,NCLEC is a Optician, Dispensing healthcare provider located in FORSYTH, Georgia. NPI 1245747906 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · FORSYTH, GA
Registration Details
- NPI Number
- 1245747906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2018 (8.6294053036471 yrs)
- Last Updated
- May 28, 2021
- License
-
LDO0002590 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 N LEE STFORSYTH, GA, 310292114Browse GA providers · Browse ZIP 31029
- Phone
- 4782583838
- Fax
- 4789930344
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.