Individual
MRS. CHANDLER COLEMAN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-5443
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-5443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6637
TN
363A00000X
Physician Assistant
Primary
6285
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q099116
—
TN
Enumeration date
09/01/2017
Last updated
02/11/2025
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