Organization
SNUPPY, INC.
Active
Other names
GWANAK INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN S KIM MD (PRESIDENT)
(770) 864-5510
Entity
Organization
Contact information
Practice address
3473 SATELLITE BLVD, STE 108 N, DULUTH, GA 30096-8690
(770) 864-5510
(770) 864-5398
Mailing address
3473 SATELLITE BLVD, STE 108 N, DULUTH, GA 30096-8690
(770) 864-5510
(770) 864-5398
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
60393
GA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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