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Terry Chastain, L.P.C

NPI 1508004342 · on the registry since 2009 · sole proprietor

Practice

Address
5294 Lawrenceville Hwy
B-5
Lilburn, GA 30047
Phone
(770) 931-3588
Fax
(770) 717-7328

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia