Yoo, Myung Jae

Yoo, Myung Jae is an individual health care provider with primary practice located at 3473 Satellite Blvd 120 N, Duluth GA 30096-8690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Yoo, Myung Jae can be contacted via phone (770) 559-8385.

Contact Information

Primary practice address
3473 Satellite Blvd 120 N Duluth GA 30096-8690
Phone: (770) 559-8385
Fax: (770) 674-7367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 7275 South Dakota
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 70798 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101257597 Virginia

Profile Details

NPI number 1518120955
LBN Legal business name Yoo, Myung Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Apr 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518120955 NPPES
North Dakota MEDICAID 14855
North Dakota Other 9263478

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