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Individual

MRS. JIYEON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100, DULUTH, GA 30096-4953
(678) 417-0332
(470) 200-2823
Mailing address
3610 PEACHTREE INDUSTRIAL BLVD, SUITE 100, DULUTH, GA 30096-4953
(678) 417-0332
(470) 200-2823

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F0317639
GA
363LF0000X
Family Nurse Practitioner
Primary
F0317639
GA

Other

Enumeration date
11/16/2016
Last updated
11/16/2016
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