Yong Ku Kwon PA

NPI 1033204631 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033204631
Gender Male
Enumeration Date 10/03/2006
Last Updated 01/11/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
5677 BUFORD HWY NE STE 210
DORAVILLE GA, 30340-1200, US
Phone (678) 547-1045
Fax (678) 547-1048
Business Location
5677 BUFORD HWY NE STE 210
DORAVILLE GA, 30340-1200, US
Phone (678) 547-1045
Fax (678) 547-1048
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 004834
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According to our database, Yong Ku Kwon PA NPI is 1033204631, taxonomy code is 363AM0700X and license number is 004834, license state is located at Georgia. Yong Ku Kwon PA physically located at 5677 Buford Hwy Ne Ste 210, Doraville GA, 30340-1200. NPI Number Yong Ku Kwon PA has the Individual type.

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1033204631 NPI number is provided on an as is basis without warranty of any kind. 1033204631 is maintained by the National Plan & Provider Enumeration System. The contents of Yong Ku Kwon PA are for informational purposes only.