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Individual

MELANIE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1505 NORTHSIDE BLVD STE 2400, CUMMING, GA 30041-7662
(770) 292-3490
(770) 292-9016
Mailing address
1505 NORTHSIDE BLVD STE 2400, CUMMING, GA 30041-7662
(770) 292-3490
(770) 292-9016

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009284
NY
363A00000X
Physician Assistant
Primary
10453
GA

Other

Enumeration date
10/19/2006
Last updated
12/27/2022
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