Provider Demographics
NPI:1306962592
Name:CHUNG, DUOC UNG (MD)
Entity type:Individual
Prefix:
First Name:DUOC
Middle Name:UNG
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4778 ARDMORE LANE
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548
Mailing Address - Country:US
Mailing Address - Phone:404-931-2133
Mailing Address - Fax:
Practice Address - Street 1:20 SATELLITE DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680
Practice Address - Country:US
Practice Address - Phone:678-392-3913
Practice Address - Fax:678-815-1556
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243336207Y00000X
GA64013207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology