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Individual

GARVIN KENT CHASTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1060 WILLIAM WAY NW, CLEVELAND, TN 37312-4369
(423) 475-1050
(888) 853-7312
Mailing address
1060 WILLIAM WAY NW, CLEVELAND, TN 37312-4369
(423) 478-1050
(888) 853-7312

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16293
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4179087
BCBS
SC
Enumeration date
02/27/2006
Last updated
02/18/2021
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