Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS8186 | TN |
NPI | 1043234750 |
---|---|
Provider Name | Dr. Andrew C Cheung |
First Address | Oak Ridge, TN 37830 |
Second Address | Oak Ridge, TN 37830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 12/05/2016 |