Individual
DR. DEEN B CHANDORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
362 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2560
(404) 550-3248
(770) 638-4150
Mailing address
565 LAKE FRONT DR, LILBURN, GA 30047-7317
(404) 550-3248
(770) 638-4150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
025954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000345749B
—
GA
Enumeration date
11/04/2006
Last updated
07/08/2007
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