Individual
JI WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 HAMILTON MILL PKWY, DACULA, GA 30019-4648
(770) 614-1076
Mailing address
2463 HAMILTON MILL PKWY, DACULA, GA 30019-4648
(770) 614-1076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027280
GA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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