Individual
DR. MYUNG KIL JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1006 US HIGHWAY 64 E, PLYMOUTH, NC 27962-9215
(252) 793-5073
(252) 793-3278
Mailing address
1006 US HIGHWAY 64 E, PO BOX 707, PLYMOUTH, NC 27962-9215
(252) 793-5073
(252) 793-3278
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945916
—
NC
Enumeration date
03/31/2006
Last updated
04/24/2013
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