Provider Demographics
NPI:1376347260
Name:JUNG, SANGHOON (MD)
Entity type:Individual
Prefix:
First Name:SANGHOON
Middle Name:
Last Name:JUNG
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 1:338 OLMSTEAD WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5875
Mailing Address - Country:US
Mailing Address - Phone:470-641-8948
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE STE BG03
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-4717
Practice Address - Country:US
Practice Address - Phone:404-778-2626
Practice Address - Fax:404-712-7908
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program