Provider Demographics
NPI:1447247457
Name:CHEWNING, MARK WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:WILLIAM
Last Name:CHEWNING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:21 HIGHLAND AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2201
Mailing Address - Country:US
Mailing Address - Phone:540-982-8881
Mailing Address - Fax:540-982-0442
Practice Address - Street 1:21 HIGHLAND AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-2201
Practice Address - Country:US
Practice Address - Phone:540-982-8881
Practice Address - Fax:540-982-0501
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2022-01-20
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Provider Licenses
StateLicense IDTaxonomies
VA0101237869207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010146097Medicaid
VA010146097Medicaid