Individual
DR. JACK CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4754 MARTIN ROAD, FLOWERY BRANCH, GA 30542-3507
(770) 848-9130
(770) 848-9131
Mailing address
601 S ENOTA DR NE, SUITE Q, GAINESVILLE, GA 30501-2400
(770) 219-6602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
066467
GA
Other
Enumeration date
07/27/2008
Last updated
01/29/2021
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