| NPI | 1215154109 |
|---|---|
| Doing Business As | GARVIN K CHASTAIN MD |
| Entity Type | Organization |
| Authorized Contact | CATHY FAULKNER Administrator 423-479-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN MD16293) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |