MEDICARE: LUTHER FRANK 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
1	207R00000X	Internal Medicine Physician	16324	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1437123726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUTHER FRANK CHANDLER MD

Provider Business Mailing Address
First Line	:	4411 OAKWOOD DR
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-2367
Country	:	US
Telephone Number	:	423-892-4289
Fax Number	:	423-553-1839

Provider Business Practice Location Address
First Line	:	4411 OAKWOOD DR
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416
Country	:	US
Telephone Number	:	423-892-4289
Fax Number	:	423-553-1839

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	06/04/2018

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Directions to “ LUTHER FRANK CHANDLER MD” Practice Location

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