Individual
JASON CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3655 HOWELL FERRY RD STE 300, DULUTH, GA 30096-3186
(678) 878-2192
Mailing address
7630 BELLEMONT RDG, JOHNS CREEK, GA 30097-1961
(678) 939-4944
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT014404
GA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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