Individual
JIHAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 WHITLOCK AVE SW STE I, MARIETTA, GA 30064-1996
(404) 435-0718
(404) 941-9543
Mailing address
5301 SOUTH CONGRESS AVE, 3 SOUTH, ATLANTIS, FL 33462
(561) 548-1710
(561) 548-1743
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD305055
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD305055
GA
Other
Enumeration date
03/29/2022
Last updated
01/23/2026
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