Individual
JUNGHWAN BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
100 N MACON ST, MACON, GA 31210-6563
(478) 200-6970
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P24669
NC
225100000X
Physical Therapist
PT016267
GA
225100000X
Physical Therapist
PTH9576
AL
2251E1300X
Clinical Electrophysiology Physical Therapist
P24669
NC
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PTH9576
AL
Other
Enumeration date
01/02/2020
Last updated
03/10/2026
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