Individual
MRS. CLARA K CHUNG I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3125 INDEPENDENCE DR, SUITE 210, BIRMINGHAM, AL 35209-4159
(205) 943-1197
Mailing address
3125 INDEPENDENCE DR, SUITE 210, BIRMINGHAM, AL 35209-4159
(205) 943-1197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16114
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009982440
—
AL
01
—
51537273
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/03/2006
Last updated
03/02/2011
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