person
Yong Ku Kwon, PA
Medical Physician Assistant in Doraville, Georgia
NPI 1033204631

Yong Ku Kwon is a Medical Physician Assistant based in Doraville, GA and is specialized in Medical. Yong Ku Kwon practices in Doraville, GA and has the professional credentials of PA. The NPI Number for Yong Ku Kwon is 1033204631 and holds a License No. 004834 (Georgia).

The current practice location address for Yong Ku Kwon is 5677 Buford Hwy Ne Ste 210, Doraville, GA and can be reached out via phone at 678-547-1045 and via fax at 678-547-1048.

Location: 5677 Buford Hwy Ne Ste 210, Doraville, GA, 30340-1200
person
Provider Profile Details
NPI Number
1033204631
Provider Name
Yong Ku Kwon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5677 Buford Hwy Ne Ste 210, Doraville, GA, 30340-1200
Phone Number
678-547-1045
Fax Number
678-547-1048
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
379290255A 05 GA
379290255B 05 GA
institution
Provider Business Practice Location Address Details
Address
5677 Buford Hwy Ne Ste 210
City
State
Zip
30340-1200
Phone Number
678-547-1045
Fax Number
678-547-1048
person
Provider Business Mailing Address Details
Address
5677 Buford Hwy Ne Ste 210
City
State
Zip
30340-1200
Phone Number
678-547-1045
Fax Number
678-547-1048
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004834 (Georgia)
Definition
Definition to come...
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