Individual
JIYE KWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-7573
Mailing address
412 E 48TH ST, SAVANNAH, GA 31405-2341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
93583
GA
Other
Enumeration date
03/25/2019
Last updated
01/23/2023
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