Individual
MOON YUN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 W 4TH AVE, ALBANY, GA 31701-1973
(229) 435-0002
(229) 883-1782
Mailing address
421 W 4TH AVE, ALBANY, GA 31701-1973
(229) 435-0002
(229) 883-1782
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
058965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028573
ANTHEM PIN
OH
01
—
004211607
AETNA
OH
05
—
0109242
—
OH
01
—
0701220
UNITED HEALTHCARE
OH
01
—
0843940001
DMERC
OH
01
—
160024659
RAILROAD MEDICARE
OH
05
—
2238144
—
OH
01
—
3416527556A00
ANTHEM GROUP
OH
01
—
54100
QUAL CHOICE
OH
Enumeration date
12/22/2005
Last updated
09/13/2012
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