Individual
DR. JINYONG BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362
(334) 255-7040
(877) 374-1656
Mailing address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362-5333
(334) 255-7040
(877) 374-1656
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2066
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2018
Last updated
07/10/2025
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