Provider Demographics
NPI:1437123726
Name:CHANDLER, LUTHER FRANK (MD)
Entity Type:Individual
Prefix:
First Name:LUTHER
Middle Name:FRANK
Last Name:CHANDLER
Suffix:
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 1:4411 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-2367
Mailing Address - Country:US
Mailing Address - Phone:423-892-4289
Mailing Address - Fax:423-553-1839
Practice Address - Street 1:4411 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416
Practice Address - Country:US
Practice Address - Phone:423-892-4289
Practice Address - Fax:423-553-1839
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16324207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ035311Medicaid
TN30150101Medicare PIN