Individual
CHANDLER OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11649
NC
Other
Enumeration date
09/10/2021
Last updated
11/15/2024
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