Organization · Type 2 NPI
Chastain Integrative Medicine LLC
Clinic/Center · Atlanta, GA
NPI number
1245914449
Active
Practice location
80 W Wieuca Rd NE Ste 201
Atlanta, GA 30342-3243
Fax (404) 975-3191
Mailing address
4959 Northside Dr
Atlanta, GA 30327-4419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | None listed |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | None listed |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Prevention Professional | 405300000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1245914449
Chastain Integrative Medicine LLC's National Provider Identifier is 1245914449, issued on Jun 9, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 9, 2023.