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Individual

DONG SUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 ROSWELL RD, MARIETTA, GA 30062-2983
(770) 973-7337
Mailing address
1340 WALNUT HILL CIR, LAWRENCEVILLE, GA 30043-8696

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 027309G
GA

Other

Enumeration date
06/13/2014
Last updated
06/13/2014
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