Individual
KUDO JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LACY ST NW STE 150, MARIETTA, GA 30060-1273
(770) 793-7635
(770) 793-7645
Mailing address
100 LACY ST NW STE 150, MARIETTA, GA 30060-1273
(770) 793-7635
(770) 793-7645
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
97233
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
12/14/2023
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