Juni Health Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007440 Issued in GA

Legal business name

JUNI HEALTH CLINIC LLC

Practice address

1630 Pleasant Hill Rd
#230
Duluth, GA 30096-5899

Phone

(678) 924-3434

Fax

(678) 924-3432

NPI assigned

Dec 29, 2008

Last updated

May 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jae Min Park, D.C.

Title

Doctor/Owner

Phone

(678) 924-3434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae Min Park, DC

  • Chiropractor
  • Duluth, GA
  • NPI 1700430519
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1164668919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD",
            "address_2": "#230",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968839",
            "telephone_number": "678-924-3434",
            "fax_number": "678-924-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD",
            "address_2": "#230",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965899",
            "telephone_number": "678-924-3434",
            "fax_number": "678-924-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNI HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "678-924-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.