Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2008-01129 | NC |
NPI | 1043330921 |
---|---|
Provider Name | Leon Chandler |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28210-8407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 05/01/2022 |