Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 17760 | WV |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 17760 | WV |
NPI | 1316906274 |
---|---|
Provider Name | David G Chaffin |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 24/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0092803000 | (05) | WV |
0102874 | (05) | OH |
64700354 | (05) | KY |
D36657 | (02) | WV |