Individual
SAMUEL I CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
996A KILLIAN HILL RD SW, LILBURN, GA 30047
(770) 923-0901
Mailing address
966A KILLIAN HILL RD SW, LILBURN, GA 30047-3102
(770) 923-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-026912
IL
2251X0800X
Orthopedic Physical Therapist
Primary
PT017461
GA
Other
Enumeration date
10/11/2022
Last updated
11/21/2024
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