Individual
DR. JEY-DEA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 LAMB CIR, STE 340, CHRISTIANSBURG, VA 24073-6344
(866) 224-2413
(540) 776-0699
Mailing address
PO BOX 3605, RADFORD, VA 24143-3605
(540) 731-1989
(540) 639-5426
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101026099
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5793831
—
VA
Enumeration date
05/24/2005
Last updated
01/26/2010
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