Individual
KYOUNGWHA JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4980 AVALA PARK LN, PEACHTREE CORNERS, GA 30092-2194
(770) 713-1010
Mailing address
4980 AVALA PARK LN, PEACHTREE CORNERS, GA 30092-2194
(770) 713-1010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN167385
GA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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