Individual
NAKYOUNG JUDY NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2089 TERON TRCE STE 250, DACULA, GA 30019-1613
(770) 953-3331
(678) 801-4831
Mailing address
8200 ROBERTS DR STE 450, SANDY SPRINGS, GA 30350-4115
(770) 952-8612
(678) 803-6944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
59292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152518438A
—
GA
Enumeration date
07/19/2007
Last updated
11/12/2020
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