Individual
KERRY CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E BOYCE ST, MANNING, SC 29102-3408
(803) 435-8168
Mailing address
110 E BOYCE ST, MANNING, SC 29102-3408
(803) 435-8168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75035
SC
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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