Active NPI
In Gil Jung
- Chiropractor
- Duluth, GA
National Provider Identifier
1346665031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR008816
- Practice address
- 3636 Satellite Blvd
4A
Duluth, GA 30096-4590 - Phone
- (404) 488-5552
- NPI assigned
- Mar 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008816 | GA | Primary |
Addresses
Primary practice location
3636 Satellite Blvd
4A
Duluth, GA 30096-4590
Mailing address
3636 Satellite Blvd # 4a
Duluth, GA 30096-4590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008816 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1346665031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 SATELLITE BLVD # 4A",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 SATELLITE BLVD",
"address_2": "4A",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964590",
"telephone_number": "404-488-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "IN GIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-04",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.