Individual
MRS. GUISEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4400 PEACHTREE RD NE, BROOKHAVEN, GA 30319-2729
(404) 814-9199
Mailing address
4400 PEACHTREE RD NE, BROOKHAVEN, GA 30319-2729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905033
MS
363L00000X
Nurse Practitioner
GAA-NP002954
GA
363LF0000X
Family Nurse Practitioner
AP08551
LA
Other
Enumeration date
01/13/2016
Last updated
10/09/2025
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