Individual
JEFFREY CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C-AA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3076
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
61
SC
367H00000X
Anesthesiologist Assistant
AA390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AA0050
—
SC
01
—
Q63332
MEDICARE
SC
Enumeration date
06/21/2017
Last updated
01/07/2022
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