Organization
STANLEY A CHUNN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY A CHUNN (MD)
(615) 666-5164
Entity
Organization
Contact information
Practice address
200 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1727
(615) 666-5600
Mailing address
200 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1727
(615) 666-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013689
—
TN
01
—
3132202
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/08/2014
Last updated
09/08/2014
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