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Individual

PAUL SANGYONG CHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
781 WEATHERLY DR, SUITE A, CLARKSVILLE, TN 37043-8953
(931) 647-7200
(931) 645-1546
Mailing address
781 WEATHERLY DR, SUITE A, CLARKSVILLE, TN 37043-8953
(931) 647-7200
(931) 645-1546

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD016287
TN
207RH0003X
Hematology & Oncology Physician
MD016287
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2646213
AETNA
05
3015201
TN
01
46902
BCBS
TN
01
621242488
CIGNA AND ALL OTHER COMME
01
64778756
KY MEDICAID
KY
Enumeration date
09/06/2006
Last updated
01/19/2011
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