Individual
DR. DALE KYUNG HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060
(770) 952-8899
(770) 988-0730
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81197
GA
2085R0202X
Diagnostic Radiology Physician
PENDING
GA
Other
Enumeration date
05/24/2012
Last updated
02/19/2024
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