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Individual

ANNISE KIEU CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3158 FREEDOM DR STE 3101, CHARLOTTE, NC 28208-0014
(704) 348-2992
(704) 334-3061
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023-00627
NC
207RN0300X
Nephrology Physician
Primary
2023-00627
NC
208M00000X
Hospitalist Physician
2023-00627
NC

Other

Enumeration date
03/18/2013
Last updated
05/02/2025
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