Individual
JULIE W CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3139 INGLESIDE AVE, MACON, GA 31204-1936
(478) 209-6095
Mailing address
3139 INGLESIDE AVE, MACON, GA 31204-1936
(478) 209-6095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN128976
GA
172A00000X
Driver
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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