Individual
MELISSA ANN CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
102 RESERVATION AVENUE, BECKLEY, WV 25801
(304) 929-7677
Mailing address
PO BOX 972, BECKLEY, WV 25802-0972
(304) 929-7677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1811
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1809819000
—
WV
01
—
MESP05281
MEDICARE SOLE PROP. PIN
WV
Enumeration date
11/24/2006
Last updated
08/29/2007
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