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Individual
DIANA KIM
Active
Individual
DIANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
077065
GA
208M00000X
Hospitalist Physician
Primary
077065
GA
Other
Enumeration date
04/18/2013
Last updated
07/30/2020
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