| Doctor Name: | MRS. MARYN CLEMENTS CHANDLER |
| NPI Number: | 1053672709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 006424 |
| Business Practice Address: | 10 Doctors St Metter, GA - 304393337 |
| Business Phone Number: | 9126855715 |
| Business Fax Number: | 9126853461 |
| Mailing Address: | Po Box 538, METTER |
| State: | GA |
| Postal Code: | 304390538 |
| Phone Number: | 9126855715 |
| Fax Number: | 9126853461 |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 05/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 006424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |