Chung, Andrew B.
Chung, Andrew B. is an sole proprietor health care provider with primary practice located at 5701 Mableton Pkwy Se Suite 202, Mableton GA 30126-3395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chung, Andrew B. can be contacted via phone (770) 739-7500.Contact Information
Primary practice address
5701 Mableton Pkwy Se Suite 202
Mableton GA 30126-3395
Phone: (770) 739-7500
Fax: (770) 739-7587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 040347 | Georgia |
Profile Details
| NPI number | 1881667137 |
|---|---|
| LBN Legal business name | Chung, Andrew B. |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 11th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881667137 | NPPES |
| Georgia | MEDICAID | 00947317A |
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