Organization
EYE GALLERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYUNG KON KIM (OWNER)
(678) 417-0110
Entity
Organization
Contact information
Practice address
3230 STEVE REYNOLDS BLVD STE 110, DULUTH, GA 30096-8832
(678) 417-0110
(678) 417-0120
Mailing address
3230 STEVE REYNOLDS BLVD STE 110, DULUTH, GA 30096-8832
(678) 417-0110
(678) 417-0120
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
2008020961
GA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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