Provider Demographics
NPI:1427121169
Name:CARNEY, CHANDRA PAGE (PA-C)
Entity type:Individual
Prefix:MS
First Name:CHANDRA
Middle Name:PAGE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3913 BLACKBURN LN
Mailing Address - Street 2:APT #23
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1222
Mailing Address - Country:US
Mailing Address - Phone:240-294-6227
Mailing Address - Fax:
Practice Address - Street 1:NNMC 8901 WISCONSIN AVE
Practice Address - Street 2:AMERICA BLD. INTERNAL MEDICINE CLINIC
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2011-07-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant