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Organization

STEVEN C CHANDLER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN CECIL CHANDLER M.D. (PRESIDENT)
(256) 350-0920
Entity
Organization

Contact information

Practice address
1205 MEDICAL DR SE, DECATUR, AL 35601-4330
(256) 350-0920
(256) 355-1996
Mailing address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 318-2101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000079434
AL
01
110236864
RAILROAD MEDICARE
AL
01
51079434
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
Enumeration date
11/18/2011
Last updated
07/31/2016
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