Ki Soo Jung is a Neurology in Charlotte, North Carolina. Ki Soo Jung practices all healthcare services and medical treatments related to Neurology. The NPI Number for Ki Soo Jung is 1609862283. The last update date is 2022-01-11.
Ki Soo Jung's current location address is 225 Baldwin Ave, Charlotte, North Carolina. You can contact this provider via phone number 7043761605 and fax number 7043358448. The mailing address for Ki Soo Jung is 225 Baldwin Ave, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ki Soo Jung |
|---|---|
| Address | 225 Baldwin Ave, Charlotte, North Carolina |
| Phone Number | 7043761605 |
| Fax Number | 7043358448 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609862283 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 225 Baldwin Ave |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282043109 |
| Phone Number | 7043761605 |
| Fax Number | 7043358448 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 200400364 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00387970 | NC | RAILROAD MEDICARE | |
| 89136T1 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ki Soo Jung by the Centers for Medicare & Medicaid Services?
The Ki Soo Jung has been issued the NPI (National Provider Identifier) 1609862283, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ki Soo Jung is geographically located?
The Ki Soo Jung is physically situated at the following location: 225 Baldwin Ave, Charlotte, NC, 282043109.
What is the Ki Soo Jung's area of specialization and corresponding taxonomy classification?
The Ki Soo Jung's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.
On what date did Ki Soo Jung receive its 1609862283 assignment from the Centers for Medicare & Medicaid Services?
The Ki Soo Jung was assigned its 1609862283 on 2005-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ki Soo Jung most recently updated or revised?
The information pertaining to Ki Soo Jung, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-11.