Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 116875 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 027513 | GA |
NPI | 1871517649 |
---|---|
Provider Name | Arthur Bleakley Chandler JR. |
First Address | Augusta, GA 30903-1705 |
Second Address | Augusta, GA 30901-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 28/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00432814C | (05) | GA |
1592080-002 | CIGNA (01) | GA |
4136538 | AETNA PPO (01) | |
595432 | BCBS (01) | GA |
778332 | AETNA HMO (01) | |
E88685 | (02) | GA |
G27513 | (05) | SC |