Chandler, John A.

Chandler, John A. is an individual health care provider with primary practice located at 631 Professional Drive Suite 200, Lawrenceville GA 30046-3367. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Chandler, John A. can be contacted via phone (770) 579-1894.

Contact Information

Primary practice address
631 Professional Drive Suite 200 Lawrenceville GA 30046-3367
Phone: (770) 579-1894
Fax: (770) 579-1899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 639 Georgia

Profile Details

NPI number 1639226178
LBN Legal business name Chandler, John A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639226178 NPPES
Georgia MEDICAID 10000095B
Georgia Other 970005493

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