Individual
MR. JASON C CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7945 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6701
Mailing address
7945 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6701
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
21153
MS
207RX0202X
Medical Oncology Physician
Primary
40867
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02029582
—
MS
05
—
1295778330
—
AR
05
—
1295778330
—
MO
05
—
3338904
—
TN
01
—
4267455
TN BCBS
TN
01
—
P00860321
RR MEDICARE
MS
Enumeration date
06/14/2006
Last updated
07/10/2023
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