Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Stephen Chammoun, PA

Individual provider Physician Assistant · NPI 1962404541

Mr. Michael Stephen Chammoun, PA is a Physician Assistant in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2310 N Patterson St Bldg D
Valdosta, GA 31602-2568
Phone: (229) 247-2482
Fax: (229) 247-0827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003153 (GA)

Record details

NPI number1962404541
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 12, 2005
Last updated in NPPESMarch 25, 2010

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