Individual
DR. SHAWN ALEXANDER CHILLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Mailing address
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11208
SC
207R00000X
Internal Medicine Physician
Primary
9861
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AT3879
—
SC
Enumeration date
03/07/2006
Last updated
05/26/2016
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