Chandler, John Cletus

Chandler, John Cletus is an individual health care provider with primary practice located at 48 Cross Park Ct , Greenville SC 29605-4263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Chandler, John Cletus can be contacted via phone (864) 797-7400.

Contact Information

Primary practice address
48 Cross Park Ct Greenville SC 29605-4263
Phone: (864) 797-7400
Fax: (864) 797-7405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 16652 South Carolina

Profile Details

NPI number 1699721431
LBN Legal business name Chandler, John Cletus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 1st, 2018 - about 8 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 1699721431 NPPES
South Carolina MEDICAID APPROVED

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