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CRYSTAL LYNN CHASTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-2418
(678) 312-2434
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-2418
(678) 312-2434

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
RN198451
GA
363LF0000X
Family Nurse Practitioner
RN198451
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN198451
GA

Other

Enumeration date
06/22/2015
Last updated
01/31/2025
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