Provider Demographics
NPI:1992916753
Name:PALMER, CHADWICK MARSHALL (MD)
Entity type:Individual
Prefix:DR
First Name:CHADWICK
Middle Name:MARSHALL
Last Name:PALMER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:601 S ENOTA DR NE
Mailing Address - Street 2:STE Q
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2400
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:770-219-8440
Practice Address - Street 1:5875 THOMPSON MILL RD
Practice Address - Street 2:SUITE 280
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-4133
Practice Address - Country:US
Practice Address - Phone:770-848-6190
Practice Address - Fax:770-848-5367
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2010-02-19
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Provider Licenses
StateLicense IDTaxonomies
GA063208207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine