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Individual

DR. IVA THIGPEN CHAPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
421 HULON LN, WEST COLUMBIA, SC 29169-4832
(803) 739-6628
(803) 739-5766
Mailing address
421 HULON LN, WEST COLUMBIA, SC 29169-4832
(803) 739-6628
(803) 739-5766

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
14490
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144908
SC
01
4646343
AETNA
SC
01
CN1741
RAILROAD MEDICARE
SC
Enumeration date
03/22/2006
Last updated
11/27/2007
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