Individual
ARTHUR BLEAKLEY CHANDLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-7855
(706) 774-2152
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
116875
GA
207RC0000X
Cardiovascular Disease Physician
027513
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00432814C
—
GA
01
—
1592080-002
CIGNA
GA
01
—
4136538
AETNA PPO
—
01
—
595432
BCBS
GA
01
—
778332
AETNA HMO
—
05
—
G27513
—
SC
Enumeration date
07/26/2006
Last updated
03/28/2017
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