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NPI Code Detail

MEDICARE: EUGENE SUK KWON PA-C

MEDICARE: EUGENE SUK KWON PA-C
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
1363A00000XPhysician AssistantNC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1154199628
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE SUK KWON PA-C
Provider Business Mailing Address
First Line : 901 N WINSTEAD AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-8467
Country : US
Telephone Number : 252-937-0231
Fax Number : 252-937-3113
Provider Business Practice Location Address
First Line : 901 N WINSTEAD AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-8467
Country : US
Telephone Number : 252-937-0231
Fax Number : 252-937-3113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2023
Last Update Date : 01/12/2026

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Directions to “ EUGENE SUK KWON PA-C” Practice Location

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