Individual
CHRISTOPHER A CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 364-1404
(706) 364-1419
Mailing address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 364-1404
(706) 364-1419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCB20060033835
GA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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