Individual
DR. BRANDON SANG JOON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3620 HOWELL FERRY RD, DULUTH, GA 30096-3178
(678) 312-2400
(678) 312-6999
Mailing address
PO BOX 1746, INDIANAPOLIS, IN 46206-1746
(877) 383-4442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
054764
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
054764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149575161
—
GA
01
—
P00760856
RR MEDICARE
GA
Enumeration date
03/08/2006
Last updated
04/06/2022
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