Individual
KHYE SHENG ANDREI LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
152 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-3200
(910) 353-0600
Mailing address
PO BOX 986513, DEPARTMENT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9800311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126GK
BCBS NUMBER
NC
05
—
89126GK
—
NC
Enumeration date
05/04/2006
Last updated
11/03/2023
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