Individual
AUSTIN ROSS CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
115 WILD GEESE WAY, TRAVELERS REST, SC 29690-8349
(864) 363-3433
Mailing address
115 WILD GEESE WAY, TRAVELERS REST, SC 29690-8349
(864) 363-3433
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2255A2300X
SC
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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