| NPI | 1194784256 |
|---|---|
| Professional Name | STEPHEN LACKEY CHASTAIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME114042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00014657) |
| 207R00000X Internal Medicine (Licence: SC 33627) | |
| 207R00000X Internal Medicine (Licence: FL ME114042) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2013-05-09 |