MEDICARE: STEVEN C CHANDLER M.D.

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
1	207R00000X	Internal Medicine Physician	9749	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110236864	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	51079434	OTHER	AL	BCBS OF ALABAMA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023178506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C CHANDLER M.D.

Provider Business Mailing Address
First Line	:	1205 MEDICAL DR SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4330
Country	:	US
Telephone Number	:	256-350-0920
Fax Number	:	256-355-1996

Provider Business Practice Location Address
First Line	:	1205 MEDICAL DR SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4330
Country	:	US
Telephone Number	:	256-350-0920
Fax Number	:	256-355-1996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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