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Organization

YOUNG WON KANG M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YOUNG W KANG M.D. (PRESIDENT)
(678) 417-0077
Entity
Organization

Contact information

Practice address
4855 RIVER GREEN PKWY, #140, DULUTH, GA 30096-8336
(678) 417-0077
(678) 417-0337
Mailing address
4855 RIVER GREEN PKWY, #140, DULUTH, GA 30096-8336
(678) 417-0077
(678) 417-0337

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP7537
MEDICARE GROUP
GA
Enumeration date
02/07/2008
Last updated
03/07/2008
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