Provider Demographics
NPI:1144395278
Name:HYUN, BYEONG SU (DC, L AC)
Entity Type:Individual
Prefix:DR
First Name:BYEONG
Middle Name:SU
Last Name:HYUN
Suffix:
Gender:M
Credentials:DC, L AC
Other - Prefix:DR
Other - First Name:BYEONG
Other - Middle Name:
Other - Last Name:HYUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC, L AC
Mailing Address - Street 1:302 SATELLITE BLVD NE STE 109
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7182
Mailing Address - Country:US
Mailing Address - Phone:678-731-7141
Mailing Address - Fax:678-731-7142
Practice Address - Street 1:302 SATELLITE BLVD NE STE 109
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7182
Practice Address - Country:US
Practice Address - Phone:678-731-7141
Practice Address - Fax:678-731-7142
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009402111N00000X
GA347171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor