Individual
HAK SOK SEO
Active
Individual
HAK SOK SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002990
GA
207R00000X
Internal Medicine Physician
Primary
47543
TN
Other
Enumeration date
06/19/2008
Last updated
06/21/2011
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