Individual
DR. JEONG HUN PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 DOCTORS DR STE K, DOUGLAS, GA 31533-2202
(912) 384-4024
(912) 384-4040
Mailing address
PO BOX 1377, DOUGLAS, GA 31534
(912) 384-1477
(912) 384-1470
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us