MEDICARE: JONATHAN CHONG 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
1	208600000X	Surgery Physician	37485	OK
2	2086S0102X	Surgical Critical Care Physician	Q1116	TX
3	2086S0102X	Surgical Critical Care Physician	37485	OK
4	208600000X	Surgery Physician	Q1116	TX

General Provider Information

NPI Number	:	1326275744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN CHONG MD

Provider Business Mailing Address
First Line	:	PO BOX 12187
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30914-2187
Country	:	US
Telephone Number	:	706-863-9595
Fax Number	:	706-868-8375

Provider Business Practice Location Address
First Line	:	1600 COIT RD STE 301
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6172
Country	:	US
Telephone Number	:	706-863-9595
Fax Number	:	706-868-8375

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

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	07/09/2025

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Directions to “ JONATHAN CHONG MD” Practice Location

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