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Organization
JEONG CHIROPRACTIC CENTER,PLLC
Active
Organization
JEONG CHIROPRACTIC CENTER,PLLC
Active
Other names
Jeong Wellness Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOOKEUN JEONG D.C (OWNER/DOCTOR)
(410) 461-5695
Entity
Organization
Contact information
Practice address
3459 SAINT JOHNS LN STE 2, ELLICOTT CITY, MD 21042-4025
(410) 461-5695
(410) 461-5496
Mailing address
3459 SAINT JOHNS LN STE 2, ELLICOTT CITY, MD 21042-4025
(410) 461-5695
(410) 461-5496
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03677
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906503
—
NC
Enumeration date
08/21/2007
Last updated
08/08/2012
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