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Contact Information

JEONG HUN PAIK, MD
200 DOCTORS DR STE K
DOUGLAS, GA31533-2202
 Phone: 912-384-4024
 Fax: 912-384-4040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEONG HUN PAIK · (Male)

NPI # 1619131299
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2008
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 061310
  • GA License # 61310
  • GA Medicaid 871249394A
  • GA Other 11D1098856 CLIA ID
  • GA Other 61310 PHYSICIAN LICENSE #
  • GA Other DH1281 RAILROAD MEDICARE - GROUP #
  • GA Other P00787894 RAILROAD MEDICARE - PTAN
  • GA Other 205778734007 TRICARE SOUTH REGION
  • GA Other 498159 WELLCARE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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