Individual
KI YOUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 699-5700
(864) 699-5701
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
33366
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336110113
—
SC
05
—
333669
—
SC
Enumeration date
01/30/2006
Last updated
01/31/2018
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