Healthcare Provider Details

I. General information

NPI: 1992761647
Provider Name (Legal Business Name): YUEH-YING CHENG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JUDY YY CHENG M.D.

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S LEE ST
AMERICUS GA
31709-3915
US

IV. Provider business mailing address

319 S LEE ST
AMERICUS GA
31709-3915
US

V. Phone/Fax

Practice location:
  • Phone: 229-924-9301
  • Fax: 229-924-9301
Mailing address:
  • Phone: 229-924-9301
  • Fax: 229-924-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number019376
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: