Chung, Eun

Chung, Eun is an individual health care provider with primary practice located at 2470 Mt. Zion Parkway Kaiser Permanente Southwood Specialty Center, Jonesboro GA 30236. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Chung, Eun can be contacted via phone (228) 868-9641.

Contact Information

Primary practice address
2470 Mt. Zion Parkway Kaiser Permanente Southwood Specialty Center Jonesboro GA 30236
Phone: (228) 868-9641
Fax: (228) 867-4855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005013743 Missouri
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 19730 Mississippi
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 064912 Georgia

Profile Details

NPI number 1811091085
LBN Legal business name Chung, Eun
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Apr 14th, 2022 - about 3 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 1811091085 NPPES
Mississippi MEDICAID 07532826

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