Individual
DR. JAE WOOK NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 WELLNESS WAY, SUITE100, LAWRENCEVILLE, GA 30046-3304
(770) 995-7989
(770) 277-2930
Mailing address
721 WELLNESS WAY, STE 100, LAWRENCEVILLE, GA 30046-3304
(770) 995-7989
(770) 277-2930
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
053792
GA
Other
Enumeration date
06/30/2006
Last updated
01/25/2013
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