MEDICARE: MYRON S CHWE M.D.

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
1	174400000X	Specialist	20982	AL

General Provider Information

NPI Number	:	1013982750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRON S CHWE M.D.

Provider Business Mailing Address
First Line	:	2750 HOSPITAL DR
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3360
Country	:	US
Telephone Number	:	205-339-3039
Fax Number	:	205-339-9908

Provider Business Practice Location Address
First Line	:	2750 HOSPITAL DR
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3360
Country	:	US
Telephone Number	:	205-339-3039
Fax Number	:	205-339-9908

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/08/2007

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