Doctor Name: | MR. ANDY PHUNG |
NPI Number: | 1003013756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101017157 |
Business Practice Address: | 2651 Morganton Blvd Sw Lenoir, NC - 286458183 |
Business Phone Number: | 8287578950 |
Business Fax Number: | 8287578968 |
Mailing Address: | 2651 Morganton Blvd Sw, LENOIR |
State: | NC |
Postal Code: | 286458183 |
Phone Number: | 8287578950 |
Fax Number: | 8287578968 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 5101017157 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |