Provider Demographics
NPI:1386025310
Name:CHAFFIN, JESSE R (MD)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:R
Last Name:CHAFFIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1322 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-8016
Mailing Address - Country:US
Mailing Address - Phone:304-647-1148
Mailing Address - Fax:304-647-3006
Practice Address - Street 1:1464 JEFFERSON ST N
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-1380
Practice Address - Country:US
Practice Address - Phone:304-645-3220
Practice Address - Fax:844-479-4545
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2022-09-01
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Provider Licenses
StateLicense IDTaxonomies
WV28275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine