Individual
JI HYE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
90148
GA
207R00000X
Internal Medicine Physician
H0087741
MD
207R00000X
Internal Medicine Physician
OS13718
FL
208M00000X
Hospitalist Physician
Primary
90148
GA
Other
Enumeration date
08/20/2015
Last updated
03/05/2023
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