Individual
MICHAEL KIRK CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(678) 216-0771
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN252524
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041040400
—
DC
05
—
1225461973
—
VA
05
—
422329200
—
MD
Enumeration date
08/16/2013
Last updated
12/06/2022
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