| Doctor Name: | DR. MYUNG KIL JEON |
| NPI Number: | 1750342473 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 20482 |
| Business Practice Address: | 1006 Us Highway 64 E Plymouth, NC - 279629215 |
| Business Phone Number: | 2527935073 |
| Business Fax Number: | 2527933278 |
| Mailing Address: | 1006 Us Highway 64 E, Po Box 707 PLYMOUTH |
| State: | NC |
| Postal Code: | 279629215 |
| Phone Number: | 2527935073 |
| Fax Number: | 2527933278 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |