Provider Demographics
NPI:1427697002
Name:CHANDLER, NICHOLAS GREER (PA-C)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:GREER
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 STARLING ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4267
Mailing Address - Country:US
Mailing Address - Phone:912-265-5125
Mailing Address - Fax:912-261-0907
Practice Address - Street 1:2500 STARLING ST STE 201
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4267
Practice Address - Country:US
Practice Address - Phone:912-265-5125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-31
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9915363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant