Provider Demographics
NPI:1215018023
Name:JUNG, JANET (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:JUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 DULUTH HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4200
Mailing Address - Country:US
Mailing Address - Phone:678-957-8283
Mailing Address - Fax:678-957-8312
Practice Address - Street 1:2518 DULUTH HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4200
Practice Address - Country:US
Practice Address - Phone:678-957-8283
Practice Address - Fax:678-957-8312
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040933208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics