Organization
CASANDRA L. CANSLER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASANDRA L CANSLER MD (SOLE PROPRIETOR)
(423) 332-8634
Entity
Organization
Contact information
Practice address
8804 DAYTON PIKE, SODDY DAISY, TN 37379-4306
(423) 332-8633
(423) 332-8634
Mailing address
PO BOX 11443, CHATTANOOGA, TN 37401-2443
(423) 332-8633
(423) 332-8634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3819036
—
TN
01
—
G84991
UPIN
—
Enumeration date
03/20/2007
Last updated
09/23/2008
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