Chun, Heidi H

Chun, Heidi H is an individual health care provider with primary practice located at 4441 Atlanta Rd Se Ste 216 , Smyrna GA 30080. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chun, Heidi H can be contacted via phone (470) 956-4120.

Contact Information

Primary practice address
4441 Atlanta Rd Se Ste 216 Smyrna GA 30080
Fax: (678) 842-5535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42027 Georgia

Profile Details

NPI number 1518957364
LBN Legal business name Chun, Heidi H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518957364 NPPES
Georgia MEDICAID 000882109A
Georgia Other 313966
Georgia Other 10033140
Georgia Other P00124118
Georgia Other 0101672
Georgia Other 8708
Georgia Other 1023880002
Georgia Other 52723999001

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