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Individual

DONGJIN YOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
56 CARRIAGE OAKS DR, TYRONE, GA 30290-1684
(316) 570-0392
(478) 346-0006
Mailing address
56 CARRIAGE OAKS DR, TYRONE, GA 30290-1684
(316) 570-0392
(478) 346-0006

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-37291
KS
207Q00000X
Family Medicine Physician
063054
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003176635A
GA
05
201095850A
KS
01
202I082618
GA MEDICARE PTAN
GA
Enumeration date
05/23/2007
Last updated
07/15/2021
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