NEW GYN LLC NPI 1710280656

NPI Information

  • NPI: 1710280656
  • Provider Name: NEW GYN LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3840 PEACHTREE INDUSTRIAL BLVD
    275
    DULUTH, GA
    ZIP 30096
  • Phone: (770) 670-6551

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NPI Details

NEW GYN LLC is a clinic center in Duluth, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NEW GYN LLC NPI is 1710280656. The provider is registered as an organization entity type.

The provider's business location address is:

3840 PEACHTREE INDUSTRIAL BLVD
275
DULUTH, GA
ZIP 30096-031
Phone: (770) 670-6551
Fax: (770) 670-6507

The provider's authorized official is Jong Kyu Song .
The authorized official title is Doctor and has the following contact phone number (770) 670-6551.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center015637GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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