# CONNIE A. CHANDLER, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OZARK MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598905101
- **Authorized official:** CONNIE A CHANDLER MD (OWNER)
- **Authorized official phone:** (334) 774-5116

## Contact information

- **Practice address:** 145 KATHERINE AVE, OZARK, AL 36360-1976
- **Practice address phone:** (334) 774-5116
- **Practice address fax:** (334) 774-6848
- **Mailing address:** 145 KATHERINE AVE, OZARK, AL 36360-1976
- **Mailing address phone:** (334) 774-5116
- **Mailing address fax:** (334) 774-6848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00004122 | AL | Yes |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 02/23/2009