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NPI Code Detail

MEDICARE: DR. DAVID CHANDLER DC

MEDICARE: DR. DAVID CHANDLER DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2068SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225000482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CHANDLER DC
Provider Business Mailing Address
First Line : 3681 LEAPHART RD
Second Line : STE D
City : WEST COLUMBIA
State : SC
Zip : 29169-3068
Country : US
Telephone Number : 803-796-0855
Fax Number : 803-796-0028
Provider Business Practice Location Address
First Line : 3681 LEAPHART RD
Second Line : STE D
City : WEST COLUMBIA
State : SC
Zip : 29169-3068
Country : US
Telephone Number : 803-796-0855
Fax Number : 803-796-0028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 10/10/2017

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