Individual
MS. MARIE CHIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4238
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363LF0000X
Family Nurse Practitioner
Primary
5018529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000
TRICARE
—
Enumeration date
10/27/2020
Last updated
12/13/2023
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