MEDICARE: DR. JAEPIL ERIC YOON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	12345	GA

General Provider Information

NPI Number	:	1356863179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAEPIL ERIC YOON MD

Provider Business Mailing Address
First Line	:	275 INTERSTATE NORTH CIR SE STE 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2565
Country	:	US
Telephone Number	:	678-214-6111
Fax Number	:	770-506-9860

Provider Business Practice Location Address
First Line	:	101 REGENCY PARK DR STE 120
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-7076
Country	:	US
Telephone Number	:	678-214-6111
Fax Number	:	770-506-9860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	04/09/2026

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