Dr. John Y. Chung MD
MOHS-Micrographic Surgery Physician in Dalton, GA(View on Map)
Full Name
Dr. John Y Chung MD
NPI Number
1710943709
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/26/2006
Specialties
(Taxonomies)Code
207ND0101X
207N00000X
Primary Taxonomy
Yes
No
Licenses
State
Georgia
License Number
041532
Contact
Information
Purpose
Mailing
Location
Address
1107 MEMORIAL DR
1107 MEMORIAL DR
City
Dalton
Dalton
State
GA
GA
Postal Code
30720-8662
30720
Country
US
US
Telephone Number
(706) 277-7311
(706) 277-7311
Identifiers
Identifier
00703436A
041532
Identifier State
GA
GA
Identifier Issuer
Unknown
GA LICENSE
Health Information Exchange
Endpoint Type
DIRECT
DIRECT
Endpoint
jychung@directaddress.net
jychung@directaddress.net
Endpoint Description
Unknown
Unknown
Use
Unknown
Unknown
Content Type
Unknown
Unknown
Affiliation
Y
Y
Endpoint Location
Skin Cancer & Cosmetic Dermatology Center, PC1107 Memorial DriveSuite 201Dalton, GA30720US
Skin Cancer & Cosmetic Dermatology Center, PC2253 Chambliss Ave NWSuite 202Cleveland, TN373113861US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/07/2023