Individual
ERIC ALLAN CHANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DC
Contact information
Practice address
19485 OLD JETTON RD STE 210, SUITE 210, CORNELIUS, NC 28031-6592
(704) 316-1830
(704) 316-1835
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1830
(704) 316-1835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2389
NC
363A00000X
Physician Assistant
Primary
001000344
NC
363A00000X
Physician Assistant
1042
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102026
—
NC
Enumeration date
06/21/2006
Last updated
10/25/2020
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