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NPI Code Detail

MEDICARE: GINA G CHANDLER MD

MEDICARE:   GINA G CHANDLER  MD
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
1207RC0000XCardiovascular Disease PhysicianMD35598TN

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 : 1093706962
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA G CHANDLER MD
Provider Business Mailing Address
First Line : 2410 PATTERSON ST
Second Line : STE 212
City : NASHVILLE
State : TN
Zip : 37203-1553
Country : US
Telephone Number : 615-515-2929
Fax Number : 615-515-2922
Provider Business Practice Location Address
First Line : 2410 PATTERSON ST
Second Line : STE 212
City : NASHVILLE
State : TN
Zip : 37203-1553
Country : US
Telephone Number : 615-515-2929
Fax Number : 615-515-2922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 10/19/2016

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Directions to “ GINA G CHANDLER MD” Practice Location

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