Organization
CONNIE A. CHANDLER, MD
Active
Other names
OZARK MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE A CHANDLER MD (OWNER)
(334) 774-5116
Entity
Organization
Contact information
Practice address
145 KATHERINE AVE, OZARK, AL 36360-1976
(334) 774-5116
(334) 774-6848
Mailing address
145 KATHERINE AVE, OZARK, AL 36360-1976
(334) 774-5116
(334) 774-6848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00004122
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001123
—
AL
Enumeration date
02/23/2009
Last updated
02/23/2009
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