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NPI 1417299348

IndividualActive

Annise Chung, DO

NPI 1417299348 · Nephrology Physician · Charlotte, NC

Provider details

NPI number: 1417299348
Entity type: Individual
Primary specialty: Nephrology PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: No
License: 2023-00627 (NC)

Practice location

3158 Freedom Dr Ste 3101

Charlotte, NC 28208-0014

Phone: (704) 348-2992

Fax: (704) 334-3061

More NC providers

Mailing address

3158 Freedom Dr Ste 3102

Charlotte, NC 28208-0014

Registry dates

Enumerated: 2013-03-18
Last updated: 2025-05-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Annise Chung, DO — NPI 1417299348, Charlotte, NC | NPI Central