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NPI Code Detail

MEDICARE: DR. CHRISTIAN Y CHUNG MD

MEDICARE: DR. CHRISTIAN Y CHUNG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist33631NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801891379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN Y CHUNG MD
Provider Business Mailing Address
First Line : PO BOX 87388
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-7388
Country : US
Telephone Number : 910-323-2477
Fax Number : 910-323-5931
Provider Business Practice Location Address
First Line : 1880 QUIET CV
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3857
Country : US
Telephone Number : 910-323-2477
Fax Number : 910-323-5931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 08/13/2020

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