Provider Demographics
NPI:1366794786
Name:JK HEALTH CARE GROUP, INC
Entity type:Organization
Organization Name:JK HEALTH CARE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:B
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-817-9608
Mailing Address - Street 1:3775 VENTURE DR
Mailing Address - Street 2:BLD #N
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5102
Mailing Address - Country:US
Mailing Address - Phone:770-817-9608
Mailing Address - Fax:770-817-9610
Practice Address - Street 1:3775 VENTURE DR
Practice Address - Street 2:BLD #N
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5102
Practice Address - Country:US
Practice Address - Phone:770-817-9608
Practice Address - Fax:770-817-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty