| Angela L. Chandler, M.d., Pllc | |
|
134 Panther Crk Canton MS 39046-5316 | |
| (601) 832-6260 | |
| (601) 429-9301 |
| Full Name | Angela L. Chandler, M.d., Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 134 Panther Crk, Canton, Mississippi |
| Authorized Official Name and Position | Angela L. Chandler (PHYSICIAN) |
| Authorized Official Contact | 6018326260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela L. Chandler, M.d., Pllc 134 Panther Crk Canton MS 39046-5316 Ph: (601) 832-6260 | Angela L. Chandler, M.d., Pllc 134 Panther Crk Canton MS 39046-5316 Ph: (601) 832-6260 |
| NPI Number | 1427772391 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Medicare PECOS PAC ID | 9436525094 |
|---|---|
| Medicare Enrollment ID | O20221022000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427772391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Angela L Chandler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083650345 PECOS PAC ID: 2365531563 Enrollment ID: I20071211000002 |
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