| NPI | 1114022167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN CHASTAIN Physician/Founder 770-422-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-10-10 |