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Jae Gyun Maeng, MD
Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee
NPI 1881344349

Jae Gyun Maeng is a Student in an Organized Health Care Education/Training Program based in Johnson City, TN. Jae Gyun Maeng practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Jae Gyun Maeng is 1881344349 and holds a License No. (Tennessee).

The current practice location address for Jae Gyun Maeng is 1111 Skyline Dr, Johnson City, TN and can be reached out via phone at 615-686-5658.

Location: 1111 Skyline Dr, Johnson City, TN, 37604-3743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881344349
Provider Name
Jae Gyun Maeng
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1111 Skyline Dr, Johnson City, TN, 37604-3743
Phone Number
615-686-5658
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 Skyline Dr
City
Johnson City
State
Tennessee
Zip
37604-3743
Phone Number
615-686-5658
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Skyline Dr
City
Johnson City
State
Tennessee
Zip
37604-3743
Phone Number
615-686-5658
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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