MEDICARE: MICHELLE Y CHUNG

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	171100000X	Acupuncturist	202400013319	AL

General Provider Information

NPI Number	:	1881417863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE Y CHUNG

Provider Business Mailing Address
First Line	:	5814 WOODMERE BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-1766
Country	:	US
Telephone Number	:	770-776-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	5814 WOODMERE BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-1766
Country	:	US
Telephone Number	:	770-776-7607
Fax Number	:

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

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	12/12/2024

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Directions to “ MICHELLE Y CHUNG ” Practice Location

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