Provider Demographics
NPI:1821286956
Name:WOUN HUE SEOK DO PC
Entity Type:Organization
Organization Name:WOUN HUE SEOK DO PC
Other - Org Name:PLEASANT HILL FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHISYCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WOUN
Authorized Official - Middle Name:HUI
Authorized Official - Last Name:SEOK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:678-417-0332
Mailing Address - Street 1:3500 DULUTH PARK LN
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3242
Mailing Address - Country:US
Mailing Address - Phone:678-417-0332
Mailing Address - Fax:678-417-0313
Practice Address - Street 1:3500 DULUTH PARK LN
Practice Address - Street 2:SUITE 220
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3242
Practice Address - Country:US
Practice Address - Phone:678-417-0332
Practice Address - Fax:678-417-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11SCDJCMedicare UPIN
GA5828920001Medicare NSC