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Organization
FAMILY MEDICINE CENTER
Active
Organization
FAMILY MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN C CHASTAIN M.D. (PARTNER)
(423) 472-1511
Entity
Organization
Contact information
Practice address
2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
(423) 479-9202
Mailing address
2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
(423) 479-9202
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
02/06/2007
Last updated
10/06/2020
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