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Individual

MOON YOUNG JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046
(770) 277-3056
Mailing address
2619 GADSEN WALK, DULUTH, GA 30097-4351

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9002
GA
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
06/23/2018
Last updated
11/15/2018
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