MEDICARE: CHANDRA PLATZ

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	171M00000X	Case Manager/Care Coordinator
2	343900000X	Non-emergency Medical Transport (VAN)	907596	NC
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1265726731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDRA PLATZ

Provider Business Mailing Address
First Line	:	2019 SPRING CREEK DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-4796
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 KILDAIRE FARM RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-2277
Country	:	US
Telephone Number	:	413-687-0507
Fax Number	:

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

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	03/28/2025

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Directions to “ CHANDRA PLATZ ” Practice Location

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