Provider Demographics
NPI:1437297900
Name:RYU, YOUNG-KYU (DC)
Entity Type:Individual
Prefix:MR
First Name:YOUNG-KYU
Middle Name:
Last Name:RYU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6290 ABBOTTS BRIDGE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1750
Mailing Address - Country:US
Mailing Address - Phone:770-559-4236
Mailing Address - Fax:
Practice Address - Street 1:6290 ABBOTTS BRIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1750
Practice Address - Country:US
Practice Address - Phone:770-559-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-04
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor