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Individual
PETER KITAE NAM
Active
Individual
PETER KITAE NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42097
GA
208M00000X
Hospitalist Physician
Primary
42097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000789368F
—
GA
Enumeration date
01/18/2007
Last updated
11/16/2018
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