Individual
JOHN MARK CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-3640
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-3640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71326
GA
Other
Enumeration date
03/31/2011
Last updated
07/03/2019
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