Susan W Chastain MD

NPI 1720193634 - Pediatrics - 208000000X

NPI Details
NPI 1720193634
Gender Female
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11 DUNWOODY PARK
STE 190
DUNWOODY GA, 30338, US
Phone (770) 392-6555
Fax (770) 392-6550
Business Location
11 DUNWOODY PARK
STE 190
DUNWOODY GA, 30338, US
Phone (770) 392-6555
Fax (770) 392-6550
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 055188
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According to our database, Susan W Chastain MD NPI is 1720193634, taxonomy code is 208000000X and license number is 055188, license state is located at Georgia. Susan W Chastain MD physically located at 11 Dunwoody Park, Dunwoody GA, 30338. NPI Number Susan W Chastain MD has the Individual type.

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1720193634 NPI number is provided on an as is basis without warranty of any kind. 1720193634 is maintained by the National Plan & Provider Enumeration System. The contents of Susan W Chastain MD are for informational purposes only.