Individual
DAE GUANG CHUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
3737 CASTLE VIEW CT, SUWANEE, GA 30024-7451
(678) 379-8225
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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