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Individual

CHIN LIN CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
381 SUNCREST DRIVE, BRISTOL, VA 24201-1831
(276) 466-8201
(276) 466-8201
Mailing address
381 SUNCREST DRIVE, BRISTOL, VA 24201-1831
(276) 466-8201
(276) 466-8201

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101026301
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055998
ANTHEM BCBS
01
4176433
MEDAID TENN CARE
TN
Enumeration date
07/12/2006
Last updated
07/08/2007
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