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Individual

KIM VU NEISLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
960 HOSPITAL DR, STOCKBRIDGE, GA 30281-7345
(678) 251-1099
Mailing address
960 HOSPITAL DR, STOCKBRIDGE, GA 30281-7345
(678) 251-1099

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
56239
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900520
BCBS
GA
01
945221
BCBS
GA
Enumeration date
05/24/2006
Last updated
10/09/2013
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