| Organization Name: | CHATUGE MEDICAL SUPPLY |
| NPI Number: | 1720427420 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VALERIE CHASTAIN (OFFICE MANAGER) |
| Mailing Address: | 101 South Main Street Suite 6 Hiawassee |
| State: | GA US |
| Postal Code: | 30546 |
| Phone Number: | 7068965916 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |