Individual
HEATHER COFFEEN CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP - C
Contact information
Practice address
306 CORDER RD, SUITE 1, WARNER ROBINS, GA 31088-3606
(478) 922-3074
(478) 922-3076
Mailing address
120-B OSIGIAN BLVD, SUITE 100, WARNER ROBINS, GA 31088-8939
(478) 953-5358
(478) 953-5340
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
150125
GA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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