Chandler Austin Ingram

NPI #1306597471 in Jacksonville, Alabama

Provider Information

NPI Number: 1306597471
Entity Type: Individual
Name: Chandler Austin Ingram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 11, 2022
Last Updated: Jan 11, 2022

Practice Location

Address: 404 HENRY RD SW
City: Jacksonville
State: Alabama
ZIP Code: 36265-3338
Phone: (170) 630-7163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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