Individual
JEONG WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 PLEASANT HILL RD, STE 435, DULUTH, GA 30096-4122
(770) 622-1211
(770) 622-1241
Mailing address
PO BOX 958282, DULUTH, GA 30095-9539
(770) 622-1211
(770) 622-1241
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623509993C
—
GA
05
—
623509993D
—
GA
Enumeration date
11/03/2015
Last updated
11/03/2015
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