Individual
DR. ELIZABETH CHRISTINE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
066935
GA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
23261
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06677544
—
MS
Enumeration date
06/04/2008
Last updated
08/19/2016
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