Provider Demographics
NPI:1336309657
Name:CHANDLER, BILLY MITCHELL SR (MD)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:MITCHELL
Last Name:CHANDLER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72115-0128
Mailing Address - Country:US
Mailing Address - Phone:501-753-2338
Mailing Address - Fax:
Practice Address - Street 1:2916 JUSTIN MATTHEWS DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-8543
Practice Address - Country:US
Practice Address - Phone:501-753-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-2922207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology