Individual
EUI JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(404) 452-1677
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9536
GA
Other
Enumeration date
10/29/2019
Last updated
02/03/2022
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