Individual
EUN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2470 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD SPECIALTY CENTER, JONESBORO, GA 30236
(228) 868-9641
(228) 867-4855
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005013743
MO
207RR0500X
Rheumatology Physician
Primary
064912
GA
207RR0500X
Rheumatology Physician
19730
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07532826
—
MS
Enumeration date
09/11/2006
Last updated
04/14/2022
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