| NPI | 1811586415 |
|---|---|
| Former Legal Business Name | CHASTAINMD |
| Entity Type | Organization |
| Authorized Contact | WALKITRIA SMITH Managing Employee 404-694-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2024-02-03 |