Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2016-00562 | NC |
N | 207YP0228X | Pediatric Otolaryngology | MD441802 | PA |
NPI | 1265690242 |
---|---|
Provider Name | Dr. Jeffrey Cheng |
First Address | Charlotte, NC 28263-3362 |
Second Address | Durham, NC 27705-4699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 15/08/2016 |