Individual
DR. TIMOTHY BRENT CHAFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3360
(252) 209-3687
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3360
(252) 209-3687
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
200400652
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200400652
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
200400652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138AJ
BCBSNC
—
01
—
193427
MEDCOST
—
05
—
89138AJ
—
NC
Enumeration date
07/17/2006
Last updated
03/14/2011
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