Healthcare Provider Details

I. General information

NPI: 1013713486
Provider Name (Legal Business Name): JIN HO JANG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2785 BUFORD HWY STE 101B
DULUTH GA
30096-2866
US

IV. Provider business mailing address

1290 OLD PEACHTREE RD APT 5127
DULUTH GA
30097-5336
US

V. Phone/Fax

Practice location:
  • Phone: 470-282-1071
  • Fax:
Mailing address:
  • Phone: 678-544-3221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR011363
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: