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Organization

HJK1, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE T KIM MD (ITS MANAGER)
(919) 599-8107
Entity
Organization

Contact information

Practice address
88 JOHNSON RD, LAWRENCEVILLE, GA 30046-5520
(770) 623-2710
Mailing address
7126 AVALON DR, DOUGLASVILLE, GA 30135-5600
(919) 599-8107

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician

Other

Enumeration date
02/18/2021
Last updated
02/23/2021
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