Individual
JULIAN A KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 545-5800
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
52502
SC
2086X0206X
Surgical Oncology Physician
Primary
52502
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221288
UNISON
OH
01
—
000000503706
ANTHEM
—
05
—
0968734
—
OH
01
—
363702
WELLCARE
OH
01
—
4459836
AETNA
—
05
—
525024
—
SC
01
—
750702
BUCKEYE
OH
01
—
P00412262
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
12/13/2022
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