John Cletus Chandler in Greenville - Pediatric Surgery
John Cletus Chandler - NPI 1699721431
John Cletus Chandler is a Pediatric Surgery in Greenville, South Carolina. John Cletus Chandler practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for John Cletus Chandler is 1699721431. The last update date is 2018-03-01.
John Cletus Chandler's current location address is 48 Cross Park Ct, Greenville, South Carolina. You can contact this provider via phone number 8647977400 and fax number 8647977405. The mailing address for John Cletus Chandler is 48 Cross Park Ct, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Cletus Chandler |
|---|---|
| Address | 48 Cross Park Ct, Greenville, South Carolina |
| Phone Number | 8647977400 |
| Fax Number | 8647977405 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699721431 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2018-03-01 |
Provider Mailing Address Detail
| Address | 48 Cross Park Ct |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296054263 |
| Phone Number | 8647977400 |
| Fax Number | 8647977405 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 16652 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| APPROVED | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Cletus Chandler by the Centers for Medicare & Medicaid Services (CMS)?
The John Cletus Chandler has been assigned the NPI (National Provider Identifier) 1699721431. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John Cletus Chandler?
The John Cletus Chandler is situated at 48 Cross Park Ct, in the city of Greenville, state of SC, with the zip code 296054263.
What is John Cletus Chandler's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Cletus Chandler's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date did the John Cletus Chandler receive its 1699721431 assignment from the Centers for Medicare & Medicaid Services?
The John Cletus Chandler was assigned its 1699721431 by the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the John Cletus Chandler's information last updated?
The John Cletus Chandler's information was last updated on 2018-03-01.
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