MEDICARE: HANSARANG CLINIC LLC

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	111NI0013X	Independent Medical Examiner Chiropractor	CHIR008045	GA

General Provider Information

NPI Number	:	1124386594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANSARANG CLINIC LLC

Provider Business Mailing Address
First Line	:	2174 PLEASANT HILL RD
Second Line	:	SUITE 106
City	:	DULUTH
State	:	GA
Zip	:	30096-4606
Country	:	US
Telephone Number	:	770-232-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2174 PLEASANT HILL RD
Second Line	:	SUITE 106
City	:	DULUTH
State	:	GA
Zip	:	30096-4606
Country	:	US
Telephone Number	:	770-232-7222
Fax Number	:	770-232-7223

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. YOUNG SOO JEAN
Credential	:	D.C.
Telephone Number	:	770-232-7222

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	04/24/2012

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Directions to “HANSARANG CLINIC LLC ” Practice Location

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