Organization
CENTRAL ALBANY OB-GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOON Y CHUNG M.D. (SHAREHOLDER PHYSICIAN)
(229) 435-0002
Entity
Organization
Contact information
Practice address
421 W 4TH AVE, ALBANY, GA 31701-1973
(229) 435-0002
(229) 883-1782
Mailing address
421 W 4TH AVE, ALBANY, GA 31701-1973
(229) 435-0002
(229) 883-1782
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
058965
GA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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