Wan Bae Joo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008907 Issued in GA

Practice address

3725 Old Norcross Rd Ste 100
Duluth, GA 30096-4333

Phone

(404) 247-8103

Fax

(678) 473-4810

NPI assigned

Dec 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1457620593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 OLD NORCROSS RD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964333",
            "telephone_number": "404-247-8103",
            "fax_number": "678-473-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 OLD NORCROSS RD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964333",
            "telephone_number": "404-247-8103",
            "fax_number": "678-473-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "WAN",
        "middle_name": "BAE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey B Jones, DPT
• Krista Belville Jones, MS, CCC-SLP
• Marilyne Jones, NP
• Marla Autry Jones, CRNA
• Shirleysia Jones
• Debra Jordan-McCurdy, SLP-CCC
• Jazzmine Jorden
• Jose L. Cangiano,M.D.,P.C.
• Joseph J Kim DDS PC
• Jasmine Dorise Joseph, PA

• 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 Dec 19, 2011; 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.