Individual
DR. JEONG HUN PAIK
Active
Individual
DR. JEONG HUN PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
061310
GA
207R00000X
Internal Medicine Physician
Primary
61310
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1098856
CLIA ID
GA
01
—
205778734007
TRICARE SOUTH REGION
GA
01
—
498159
WELLCARE
GA
01
—
61310
PHYSICIAN LICENSE #
GA
05
—
871249394A
—
GA
01
—
DH1281
RAILROAD MEDICARE - GROUP #
GA
01
—
P00787894
RAILROAD MEDICARE - PTAN
GA
Enumeration date
07/14/2008
Last updated
03/07/2023
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