Provider Demographics
NPI:1871517649
Name:CHANDLER, ARTHUR BLEAKLEY JR (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:BLEAKLEY
Last Name:CHANDLER
Suffix:JR
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 1705
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30903-1705
Mailing Address - Country:US
Mailing Address - Phone:706-774-7263
Mailing Address - Fax:706-774-7230
Practice Address - Street 1:1350 WALTON WAY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2612
Practice Address - Country:US
Practice Address - Phone:706-774-7855
Practice Address - Fax:706-774-2152
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027513207RC0000X
GA116875207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA595432OtherBCBS
SCG27513Medicaid
4136538OtherAETNA PPO
GA1592080-002OtherCIGNA
778332OtherAETNA HMO
GA00432814CMedicaid
778332OtherAETNA HMO
GA595432OtherBCBS
GA06BDFKTMedicare ID - Type Unspecified
GA595432OtherBCBS