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Organization

CHASTAINMD

Active
Other names
ChastainMD
Organization subpart
No

Provider details

NPI number
Authorized official
WALKITRIA SMITH MD (MANAGING EMPLOYEE)
(404) 694-3486
Entity
Organization

Contact information

Practice address
4840 ROSWELL RD # D350, ATLANTA, GA 30342-2639
(404) 590-4250
Mailing address
115 LAUREL DRIVE, ATLANTA, GA 30342

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/18/2021
Last updated
02/03/2024
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