Chung, John Y

Chung, John Y is an individual health care provider with primary practice located at 1107 Memorial Dr Ste 201, Dalton GA 30720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Chung, John Y can be contacted via phone (706) 277-7311.

Contact Information

Primary practice address
1107 Memorial Dr Ste 201 Dalton GA 30720
Fax: (706) 272-3512
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 041532 Georgia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 041532 Georgia

Profile Details

NPI number 1710943709
LBN Legal business name Chung, John Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 27th, 2023 - about last year

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 1710943709 NPPES
Georgia MEDICAID 00703436A
Georgia Other 041532

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