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Individual

DR. SAMANTHA L CHAFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-4411
(304) 647-3006
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-4411

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
27556
WV
207VX0000X
Obstetrics Physician
27556
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215372271
WV
Enumeration date
05/05/2013
Last updated
01/09/2025
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