MEDICARE: CHELIF JUNOR 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	207RC0000X	Cardiovascular Disease Physician	N3106	TX

General Provider Information

NPI Number	:	1598715203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELIF JUNOR M.D.

Provider Business Mailing Address
First Line	:	119 AMBULANCE DR STE 202
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30117-3857
Country	:	US
Telephone Number	:	770-838-8710
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 CITIZENS PLZ STE 300
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-5757
Country	:	US
Telephone Number	:	361-573-0756
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	11/22/2024

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