Individual
TROY HUNTER CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
56 JEFFERSON ST, NEWNAN, GA 30263-1947
(770) 253-2802
Mailing address
51 LAKE COWETA TRL, NEWNAN, GA 30263-5961
(404) 909-5314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122785
GA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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