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Organization

PEERLESS MEDICAL ASSOCIATES

Active
Other names
GARVIN K CHASTAIN MD
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY FAULKNER (ADMINISTRATOR)
(423) 479-4165
Entity
Organization

Contact information

Practice address
1060 PEERLESS CROSSING DR, STE 200, CLEVELAND, TN 37312
(423) 479-4165
(423) 478-1884
Mailing address
1060 PEERLESS CROSSING DR, STE 200, CLEVELAND, TN 37312

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD16293
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4439863
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
04/20/2007
Last updated
08/22/2020
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