Individual
DR. JAMES JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1365 CLIFTON RD CLINIC B, SUITE 2300, ATLANTA, GA 30322-0312
(404) 778-4500
(404) 778-5879
Mailing address
1365 CLIFTON RD CLINIC B, SUITE 2300, ATLANTA, GA 30322
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN122860
GA
390200000X
Student in an Organized Health Care Education/Training Program
2951000876
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2016
Last updated
04/11/2023
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