Individual
JUNHUI GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4656
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200501571
NC
208M00000X
Hospitalist Physician
Primary
2005-01571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902931
—
NC
05
—
N01573
—
SC
Enumeration date
04/17/2006
Last updated
10/25/2020
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