Individual
CHI DAI CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 MARLBORO WAY, SUITE 7, BENNETTSVILLE, SC 29512-2494
(843) 479-5858
(843) 454-1092
Mailing address
1040 MARLBORO WAY, SUITE 7, BENNETTSVILLE, SC 29512-2494
(843) 479-5858
(843) 454-1092
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196767
UNISON
SC
05
—
223779
—
SC
01
—
407687
WELLCARE
SC
01
—
7162826
AETNA
SC
Enumeration date
10/26/2006
Last updated
09/17/2012
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