Individual
DR. MYUNG JAE YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3473 SATELLITE BLVD, 120 N, DULUTH, GA 30096-8690
(770) 559-8385
(770) 674-7367
Mailing address
3473 SATELLITE BLVD, 120 N, DULUTH, GA 30096-8690
(770) 559-8385
(770) 674-7367
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101257597
VA
208100000X
Physical Medicine & Rehabilitation Physician
7275
SD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
70798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14855
—
ND
01
—
9263478
DAKOTACARE
—
Enumeration date
07/07/2008
Last updated
04/26/2017
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