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Search › Georgia › 207N00000X

Mark Chastain, MD

NPI 1790756138 · on the registry since 2006

Practice

Address
835 Cogburn Ave Nw
Suite 100
Marietta, GA 30060
Phone
(770) 422-5557
Fax
(770) 422-5456
Organisation at this address
Aqua Dermatology Of Georgia Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
207N00000X
207N00000X
Also registered as
207ND0101X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-12

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