Individual
MRS. LAURIE P. CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
1700 TREE LN, SUITE 110, SNELLVILLE, GA 30078-6782
(770) 972-0812
(770) 972-0850
Mailing address
1700 TREE LN, SUITE 110, SNELLVILLE, GA 30078-6782
(770) 972-0812
(770) 972-0850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
113163
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630827447A
—
GA
Enumeration date
07/27/2006
Last updated
07/08/2007
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