Individual
HEIDI H CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4441 ATLANTA RD SE STE 216, SMYRNA, GA 30080
(470) 956-4120
(678) 842-5535
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000882109A
—
GA
01
—
0101672
UNITED HEALTHCARE
GA
01
—
10033140
AMERIGROUP
GA
01
—
1023880002
PEACHSTATE
GA
01
—
313966
WELLCARE
GA
01
—
52723999001
BC/BS GEORGIA
GA
01
—
8708
KAISER
GA
01
—
P00124118
RAILROAD MEDICARE
GA
Enumeration date
10/24/2005
Last updated
10/29/2019
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