Organization
CHANDLER PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHANDLER MD (OWNER)
(205) 215-0320
Entity
Organization
Contact information
Practice address
4400 E HIGHWAY 20 STE 209, NICEVILLE, FL 32578-7700
(205) 215-0320
Mailing address
4400 E HIGHWAY 20 STE 209, NICEVILLE, FL 32578-7700
(205) 215-0320
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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