Individual
SAMUEL JINSU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1821 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-6222
Mailing address
4700 LONGMIRE EXT # 47172, ATLANTA, GA 30340-2210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284464
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN284464
GA
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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