Individual
DR. TAI CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6936 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3555
(334) 260-2288
(334) 260-9885
Mailing address
PO BOX 242848, MONTGOMERY, AL 36124-2848
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00019825
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031299
—
AL
01
—
51031299
BLUE CROSS
AL
Enumeration date
10/04/2006
Last updated
09/23/2015
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