Individual
MR. CHARLES EDWARD CHANDLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-3297
Mailing address
1123 FAIRWAY GARDENS, ATLANTA, GA 30319-0599
(404) 605-3297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
056420
GA
207P00000X
Emergency Medicine Physician
MD445327
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102711630
—
PA
Enumeration date
10/11/2006
Last updated
04/08/2021
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