Individual provider · Type 1 NPI

Jerell Diego Chua, MPH, DO

Family Medicine Physician · Charlotte, NC

NPI number 1962637827 Active

Practice location

3512 Wilkinson Blvd Ste 130
Charlotte, NC 28208-5698

Fax (877) 691-5325

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	2023-03221 (NC)
Family Medicine Physician	207Q00000X	1620 (SC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1962637827

Jerell Diego Chua, MPH, DO's National Provider Identifier is 1962637827, issued on May 21, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 24, 2026.