| New Gyn Llc | |
|
3840 Peachtree Industrial Blvd 275 Duluth GA 30096-5031 | |
| (770) 670-6551 | |
| (770) 670-6507 |
| Full Name | New Gyn Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3840 Peachtree Industrial Blvd, Duluth, Georgia |
| Authorized Official Name and Position | Jong Kyu Song (DOCTOR) |
| Authorized Official Contact | 7706706551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Gyn Llc 3840 Peachtree Industrial Blvd. 275 Duluth GA 30096 Ph: (770) 670-6551 | New Gyn Llc 3840 Peachtree Industrial Blvd 275 Duluth GA 30096-5031 Ph: (770) 670-6551 |
| NPI Number | 1710280656 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710280656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 015637 (Georgia) | Primary |
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