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David Oliver Chandler, ATC

Specialist/Technologist, Athletic Trainer in Winston Salem, NC. Individual provider (NPI-1).

NPI number1912209727
StatusActive
Last updated in NPPESDec 31, 2013

Details

NPI
1912209727
Entity type
Individual (NPI-1)
Name
David Oliver Chandler
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 30, 2010
Last updated
Dec 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–NCYes

Practice location

1834 Wake Forest Rd
Winston Salem, NC 27109-6000

Phone 336-758-3215 · Fax 336-758-6149

Mailing address

Po Box 7329
Winston Salem, NC 27109-6231

Phone 336-758-3215 · Fax 336-758-6149

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