Individual
DR. YOUNGHYUN GRACE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST STE 330, JACKSON, MS 39202
(601) 353-2020
(601) 714-5110
Mailing address
1200 N STATE ST STE 330, JACKSON, MS 39202-2027
(601) 353-2020
(601) 714-5110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19544
MS
207W00000X
Ophthalmology Physician
G61324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04323208
—
MS
Enumeration date
06/03/2008
Last updated
03/18/2019
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