# HOLLY CHANDLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649797010
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 8434 | GA | — |
| 2084E0001X | Epilepsy Physician | 9115382 | FL | — |
| 363A00000X | Physician Assistant | PA9115382 | FL | Yes |

## Other

- **Enumeration date:** 08/27/2017
- **Last updated:** 09/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1DME8 | BCBS | FL |