Individual
RYAN JARED CHATELAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604
(423) 439-7201
(423) 493-7219
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7201
(423) 439-7219
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714470
GROUP MEDICARE
TN
Enumeration date
04/25/2008
Last updated
08/22/2018
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