Individual
DR. EDWARD CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103-3013
(336) 718-7080
(336) 718-9622
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7080
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200100662
NC
208M00000X
Hospitalist Physician
Primary
200100662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238891
RAILROAD MEDICARE
NC
01
—
1174510804
RAILROAD MEDICARE
NC
01
—
132F2
BLUECROSS BLUESHIELD
NC
05
—
89132F2
—
NC
05
—
N00663
—
SC
Enumeration date
09/27/2005
Last updated
10/25/2020
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