Healthcare Provider Details

I. General information

NPI: 1629915582
Provider Name (Legal Business Name): SWEETWATER PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2518 DULUTH HWY STE 102
DULUTH GA
30097-4200
US

IV. Provider business mailing address

2518 DULUTH HWY STE 102
DULUTH GA
30097-4200
US

V. Phone/Fax

Practice location:
  • Phone: 678-957-8283
  • Fax: 678-957-8312
Mailing address:
  • Phone: 678-957-8283
  • Fax: 678-957-8312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JANET CHUYON JUNG
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 678-957-8283