Provider Demographics
NPI:1609329853
Name:KANG, JULIA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:10710 MEDLOCK BRIDGE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2440
Mailing Address - Country:US
Mailing Address - Phone:770-629-0600
Mailing Address - Fax:770-215-7522
Practice Address - Street 1:10710 MEDLOCK BRIDGE RD STE 150
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2440
Practice Address - Country:US
Practice Address - Phone:770-629-0600
Practice Address - Fax:770-215-7522
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-24
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA88727207WX0200X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery