MEDICARE: DR. ANTHONY J CHUNG 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	207L00000X	Anesthesiology Physician	0101286250	VA
2	207L00000X	Anesthesiology Physician	2007-01796	NC

General Provider Information

NPI Number	:	1922281591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY J CHUNG M.D.

Provider Business Mailing Address
First Line	:	1053 DREW DR
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-7653
Country	:	US
Telephone Number	:	910-514-3558
Fax Number	:	919-590-1599

Provider Business Practice Location Address
First Line	:	401 N MAIN ST
Second Line	:
City	:	KENANSVILLE
State	:	NC
Zip	:	28349-8801
Country	:	US
Telephone Number	:	910-296-0941
Fax Number	:

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

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	02/16/2026

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