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Individual

DR. ANDREW B. CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
5701 MABLETON PKWY SE, SUITE 202, MABLETON, GA 30126-3395
(770) 739-7500
(770) 739-7587
Mailing address
5701 MABLETON PKWY SE, SUITE 202, MABLETON, GA 30126-3395
(770) 739-7500
(770) 739-7587

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
040347
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00947317A
GA
Enumeration date
02/08/2006
Last updated
05/11/2011
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