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Individual

DR. JENNY CHRISTINE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
484 IRVIN CT, STE 140, DECATUR, GA 30030-5406
(404) 297-4230
(404) 297-4252
Mailing address
NORTHSIDE HOSPITAL- MANAGED CARE DEPT, 1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 297-4230
(404) 297-4252

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
054440
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
054440
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
862450770A
GA
05
862450770B
GA
05
862450770C
GA
05
862450770D
GA
05
862450770U
GA
05
862450770W
GA
Enumeration date
07/07/2005
Last updated
01/11/2019
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