Individual
MELISSA CHASTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, NREMT
Contact information
Practice address
118 COLLEGE DR # 5017, HATTIESBURG, MS 39406-0002
(601) 266-5830
Mailing address
118 COLLEGE DR # 5017, HATTIESBURG, MS 39406-0002
(601) 266-5830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0657
MS
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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