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Individual

DAVID O CHASTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 N STATE OF FRANKLIN RD, GROUND FLOOR, JOHNSON CITY, TN 37604-6062
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7320
(423) 439-7343

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD35095
TN

Other

Enumeration date
08/24/2005
Last updated
11/02/2010
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