Individual
DR. DEBORAH L CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 HOSPITAL DR STE 300, HURRICANE, WV 25526-9104
(304) 351-1755
Mailing address
1401 HOSPITAL DR STE 300, HURRICANE, WV 25526-9104
(304) 351-1755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42253
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000589169
ANTHEM BCBS
KY
01
—
000000614208
ANTHEM BCBS
KY
05
—
2275505
—
OH
05
—
64040728
—
KY
01
—
P00648377
RR MEDICARE
KY
Enumeration date
06/21/2006
Last updated
01/10/2023
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