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Individual

ROBERT GREGORY CHANDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 HUMPHREYS CTR STE 100, MEMPHIS, TN 38120-2352
(901) 761-9030
(901) 473-6505
Mailing address
80 HUMPHREYS CTR STE 100, MEMPHIS, TN 38120-2352
(901) 761-9030
(901) 473-6505

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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