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Individual

DR. CHANG SOO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3590 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30096-4817
(770) 614-9799
(770) 614-9789
Mailing address
3590 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30096-4817
(770) 614-9799
(770) 614-9789

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59806
GA

Other

Enumeration date
05/07/2007
Last updated
06/22/2017
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