Individual
ANTHONY A CHESTANG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1310
(205) 206-8461
(205) 206-8484
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
21119
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942582
—
AL
01
—
515-39989
BCBS
AL
01
—
G91272
VIVA
AL
Enumeration date
12/12/2006
Last updated
10/21/2009
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