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CHASTAIN INTEGRATIVE MEDICINE LLC NPI 1245914449


NPI Information

NPI: 1245914449
Provider Name: CHASTAIN INTEGRATIVE MEDICINE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
80 W WIEUCA RD NE STE 201
ATLANTA, GA
ZIP 30342
Phone: (470) 443-8988
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CHASTAIN INTEGRATIVE MEDICINE LLC is a clinic center in Atlanta, GA. The provider is 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). CHASTAIN INTEGRATIVE MEDICINE LLC NPI is 1245914449. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

80 W WIEUCA RD NE STE 201
ATLANTA, GA
ZIP 30342-243
Phone: (470) 443-8988
Fax: (404) 975-3191

The provider's authorized official is Contessa D Metcalfe .
The authorized official title is Physician/owner and has the following contact phone number (616) 308-1701.

The enumeration date for this NPI number is 6/9/2023 and was last updated on 6/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
22083A0300XPreventive MedicineAddiction MedicineNo
32083B0002XPreventive MedicineObesity MedicineNo
42083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
5405300000XPrevention ProfessionalNo
6261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.