Individual
KI SOO JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 CENTURY PKWY NE STE 260, ATLANTA, GA 30345-3103
(404) 946-9327
(833) 941-2436
Mailing address
2200 CENTURY PKWY NE STE 260, ATLANTA, GA 30345-3103
(404) 946-9327
(833) 941-2436
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
105505
GA
2084N0400X
Neurology Physician
Primary
200400364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136T1
—
NC
01
—
P00387970
RAILROAD MEDICARE
NC
01
—
Q00247071
RAILROAD MEDICARE
NC
Enumeration date
09/20/2005
Last updated
05/01/2026
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