Individual
ROBERT GREGORY CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
21141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4089068
BLUECROSS BLUESHIELD TN
TN
01
—
4619444
AETNA
TN
01
—
P00153148
MEDICARE RAILROAD
TN
Enumeration date
07/27/2006
Last updated
05/16/2008
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