Individual
THERESA P CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 BLARNEY DR STE 205, COLUMBIA, SC 29223-6291
(803) 736-2530
(803) 736-4830
Mailing address
3555 HARDEN STREET EXT STE 300, COLUMBIA, SC 29203-6894
(803) 545-5016
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1258
—
SC
Enumeration date
03/19/2007
Last updated
12/13/2017
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