Individual
DR. BRYAN DEE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 HEALTH WAY, SUITE 1, MC MINNVILLE, TN 37110-2658
(931) 473-5394
(931) 473-6636
Mailing address
155 HEALTH WAY, SUITE 1, MC MINNVILLE, TN 37110-2658
(931) 473-5394
(931) 473-6636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000018822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3844940
—
TN
Enumeration date
08/09/2005
Last updated
05/21/2008
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