Individual
DR. JEWOOK HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-01789
NC
208M00000X
Hospitalist Physician
2018-01789
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2015
Last updated
03/31/2021
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