Provider Demographics
NPI:1093706962
Name:CHANDLER, GINA G (MD)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:G
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2410 PATTERSON ST
Mailing Address - Street 2:STE 212
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1553
Mailing Address - Country:US
Mailing Address - Phone:615-515-2929
Mailing Address - Fax:615-515-2922
Practice Address - Street 1:2410 PATTERSON ST
Practice Address - Street 2:STE 212
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1553
Practice Address - Country:US
Practice Address - Phone:615-515-2929
Practice Address - Fax:615-515-2922
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2016-10-19
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Provider Licenses
StateLicense IDTaxonomies
TNMD35598207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3867912Medicaid
TN3718191Medicare PIN
TNH46267Medicare UPIN