Basic Information
| Provider Information | |||||||||
| NPI: | 1962682112 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAFFIN | ||||||||
| FirstName: | ABIGAIL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1430 TULANE AVE # SL-22 | ||||||||
| Address2: | DIVISION OF PLASTIC SURGERY | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885500 | ||||||||
| FaxNumber: | 5049883740 | ||||||||
| Practice Location | |||||||||
| Address1: | 1430 TULANE AVE # SL-22 | ||||||||
| Address2: | DIVISION OF PLASTIC SURGERY | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885500 | ||||||||
| FaxNumber: | 5049883740 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2007 | ||||||||
| LastUpdateDate: | 06/10/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | MD.200823 | LA | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.