Provider Demographics
NPI:1023089356
Name:HUNG, ESTELLE CLINE (MD)
Entity type:Individual
Prefix:DR
First Name:ESTELLE
Middle Name:CLINE
Last Name:HUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5912 TAMANNARY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-9234
Mailing Address - Country:US
Mailing Address - Phone:336-681-0432
Mailing Address - Fax:
Practice Address - Street 1:439 W KINGS HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5013
Practice Address - Country:US
Practice Address - Phone:336-623-1800
Practice Address - Fax:336-627-1785
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCI03151Medicare UPIN