Individual
JENNY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 DEP BILL CANTRELL MEMORIAL RD STE 290, CUMMING, GA 30040-3002
(404) 446-0600
(404) 446-0601
Mailing address
4150 DEP BILL CANTRELL MEMORIAL RD STE 290, CUMMING, GA 30040-3002
(404) 446-0600
(404) 446-0601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13291
GA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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