Individual
DR. MARK S CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 222-6422
Mailing address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 222-6422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0033963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819010V
—
NC
Enumeration date
12/28/2006
Last updated
07/08/2007
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