Individual
JACOB NELSON CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3358
(706) 292-7653
Mailing address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3358
(706) 292-7653
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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