Individual
MRS. SEOKMI KANG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4921 HERITAGE TRACE CT, MARIETTA, GA 30062-6309
(678) 615-6925
Mailing address
4921 HERITAGE TRACE CT, MARIETTA, GA 30062-6309
(678) 615-6925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96727401
NY
Other
Enumeration date
04/01/2025
Last updated
04/18/2025
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