Healthcare Provider Details

I. General information

NPI: 1407262876
Provider Name (Legal Business Name): CHYUN YIN HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE GA
30120-2160
US

IV. Provider business mailing address

970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE GA
30120-2160
US

V. Phone/Fax

Practice location:
  • Phone: 470-490-3200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number303367
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: