Provider Demographics
NPI:1699926923
Name:HYUN, ANDREW EUNSUK (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:EUNSUK
Last Name:HYUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SATELLITE BLVD NW
Mailing Address - Street 2:#305
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4686
Mailing Address - Country:US
Mailing Address - Phone:678-584-5000
Mailing Address - Fax:678-584-5054
Practice Address - Street 1:1110 SATELLITE BLVD NW
Practice Address - Street 2:#305
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4686
Practice Address - Country:US
Practice Address - Phone:678-584-5000
Practice Address - Fax:678-584-5054
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR0006866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor