Individual
MR. BRYANT ALLEN CHASTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-8046
Mailing address
829 HINTON PLACE RD, TUSCALOOSA, AL 35405-9610
(205) 310-4755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-144847
AL
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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