| NPI | 1235489485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOON Y CHUNG Shareholder Physician 229-435-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 058965) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |