# FAMILY MEDICINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376682021
- **Authorized official:** DR. ALLAN C CHASTAIN M.D. (PARTNER)
- **Authorized official phone:** (423) 472-1511

## Contact information

- **Practice address:** 2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312-3699
- **Practice address phone:** (423) 472-1511
- **Practice address fax:** (423) 479-9202
- **Mailing address:** 2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312-3699
- **Mailing address phone:** (423) 472-1511
- **Mailing address fax:** (423) 479-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 10/06/2020