Individual
DR. CHRISTOPHER JOON KI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
850 LAWRENCEVILLE SUWANEE RD STE 101, LAWRENCEVILLE, GA 30043-5483
(770) 963-2451
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
83746
WI
208800000X
Urology Physician
Primary
97769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063918852
—
WI
Enumeration date
04/02/2018
Last updated
07/17/2024
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