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Individual

BRIAN CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
3360 STEVE REYNOLDS BLVD APT 2315, DULUTH, GA 30096-4566
(718) 551-8717

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0000
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/22/2023
Last updated
03/24/2023
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