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Chandler Austin Ingram
Student in an Organized Health Care Education/Training Program in Jacksonville, Alabama
NPI 1306597471

Chandler Austin Ingram is a Student in an Organized Health Care Education/Training Program based in Jacksonville, AL. Chandler Austin Ingram practices in Jacksonville, AL. The NPI Number for Chandler Austin Ingram is 1306597471 and holds a License No. (Alabama).

The current practice location address for Chandler Austin Ingram is 404 Henry Rd Sw, Jacksonville, AL and can be reached out via phone at 170-630-7163.

Location: 404 Henry Rd Sw, Jacksonville, AL, 36265-3338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306597471
Provider Name
Chandler Austin Ingram
Credential
Provider Entity Type
Individual
Gender
Male
Address
404 Henry Rd Sw, Jacksonville, AL, 36265-3338
Phone Number
170-630-7163
Fax Number
Provider Enumeration Date
01/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
404 Henry Rd Sw
City
Jacksonville
State
Alabama
Zip
36265-3338
Phone Number
170-630-7163
Fax Number
person
Provider Business Mailing Address Details
Address
404 Henry Rd Sw
City
Jacksonville
State
Alabama
Zip
36265-3338
Phone Number
170-630-7163
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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