Provider Demographics
NPI:1699578880
Name:BAIK, JI YOUNG (MD)
Entity type:Individual
Prefix:
First Name:JI YOUNG
Middle Name:
Last Name:BAIK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 TERRY CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-1906
Mailing Address - Country:US
Mailing Address - Phone:678-502-0381
Mailing Address - Fax:
Practice Address - Street 1:475 VINE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-4135
Practice Address - Country:US
Practice Address - Phone:336-716-4396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program