Provider Demographics
NPI:1730055658
Name:HWANG, JIWON (DC)
Entity type:Individual
Prefix:
First Name:JIWON
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 AVERY WAY APT 10302
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-4447
Mailing Address - Country:US
Mailing Address - Phone:563-579-0153
Mailing Address - Fax:
Practice Address - Street 1:212 S PETERS RD STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5217
Practice Address - Country:US
Practice Address - Phone:865-214-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor