Individual
CASANDRA L CANSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8804 DAYTON PIKE, SUITE H, SODDY DAISY, TN 37379-4306
(423) 332-8633
(423) 332-8634
Mailing address
PO BOX 301, HIXSON, TN 37343-0301
(423) 332-8633
(423) 332-8634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28697
TN
208000000X
Pediatrics Physician
28697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3150573
BLUECROSS BLUESHIELD TN
TN
05
—
3819039
—
TN
Enumeration date
06/13/2005
Last updated
06/11/2010
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