Provider Demographics
NPI:1487359279
Name:HARRIS, CHANDLER LOUISE (CPM)
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:LOUISE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 OVERHILL RD SE
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-6367
Mailing Address - Country:US
Mailing Address - Phone:256-529-2563
Mailing Address - Fax:
Practice Address - Street 1:1024 OVERHILL RD SE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6367
Practice Address - Country:US
Practice Address - Phone:256-529-2563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13286701-3400176B00000X
ALLM-0025176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife