Provider Demographics
NPI:1316170830
Name:CHAPPELEAR, ALEX KNIGHT (DO)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:KNIGHT
Last Name:CHAPPELEAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-0009
Mailing Address - Country:US
Mailing Address - Phone:828-682-0200
Mailing Address - Fax:828-682-6858
Practice Address - Street 1:800 MEDICAL CAMPUS DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-9010
Practice Address - Country:US
Practice Address - Phone:828-682-0200
Practice Address - Fax:828-682-6858
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2237207Q00000X
NC2013-02373207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
103I087075Medicare PIN