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NPI Code Detail

MEDICARE: GARVIN KENT CHASTAIN MD

MEDICARE: GARVIN KENT CHASTAIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician16293TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14179087OTHERSCBCBS

General Provider Information

NPI Number : 1518933829
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARVIN KENT CHASTAIN MD
Provider Business Mailing Address
First Line : 1060 WILLIAM WAY NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4369
Country : US
Telephone Number : 423-478-1050
Fax Number : 888-853-7312
Provider Business Practice Location Address
First Line : 1060 WILLIAM WAY NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4369
Country : US
Telephone Number : 423-475-1050
Fax Number : 888-853-7312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 02/18/2021

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Directions to “ GARVIN KENT CHASTAIN MD” Practice Location

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