Individual
DONALD L CHAFFIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3165 BLACKLOG RD, INEZ, KY 41224-9113
(606) 298-7772
(606) 298-7564
Mailing address
PO BOX 1311, INEZ, KY 41224-1311
(606) 298-7772
(606) 298-7564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22840
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64228406
—
KY
Enumeration date
06/14/2006
Last updated
05/24/2012
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