Individual
DR. JOHN Y CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1107 MEMORIAL DR, STE 201, DALTON, GA 30720
(706) 277-7311
(706) 272-3512
Mailing address
1107 MEMORIAL DR, STE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
041532
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
041532
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00703436A
—
GA
01
—
041532
GA LICENSE
GA
Enumeration date
04/26/2006
Last updated
11/27/2023
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