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Individual

MICHAEL YOUNSHIK GHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2005 PISGAH CHURCH RD, SUITE A, GREENSBORO, NC 27455-3309
(336) 701-2662
Mailing address
6773 COBBLE CREEK RD, APT 1B, WHITSETT, NC 27377-8721
(336) 501-5556

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-01941
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143RN
NC BCBS
NC
01
39-08922
UHC
NC
05
5904738
NC
01
809231
PARTNERS
NC
Enumeration date
07/12/2006
Last updated
05/14/2015
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