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Individual

JUSTIN KUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 MEDICAL PARK RD, COLUMBIA, SC 29203-6808
(803) 434-6879
Mailing address
2 MEDICAL PARK RD, COLUMBIA, SC 29203-6808

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LL87566
SC

Other

Enumeration date
03/30/2022
Last updated
07/08/2022
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