Individual
MATTHEW CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
Mailing address
147 NEW BETHEL RD, SELMER, TN 38375-1684
(731) 610-9610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/18/2023
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