| Dr Anthony J Chung, MD | |
|
401 N Main St, Kenansville, NC 28349-8801 | |
| (910) 296-0941 | |
| Not Available |
| Full Name | Dr Anthony J Chung |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 401 N Main St, Kenansville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922281591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2007-01796 (North Carolina) | Primary |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Entity Name | Sampson Regional Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588780902 PECOS PAC ID: 5597857177 Enrollment ID: O20070828000171 |
| Entity Name | Mission Health Community Multispecialty Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony J Chung, MD 1053 Drew Dr, Garner, NC 27529-7653 Ph: (910) 514-3558 | Dr Anthony J Chung, MD 401 N Main St, Kenansville, NC 28349-8801 Ph: (910) 296-0941 |
Constance R Tambakis-odom, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 401 North Main Street, Kenansville, NC 28349 Phone: 910-296-2738 |