Individual
DANIEL RIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST # AD-2226, AUGUSTA, GA 30912-5103
(706) 446-1279
Mailing address
1120 15TH ST # AD-2226, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100064
GA
207R00000X
Internal Medicine Physician
MD480917
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
07/01/2024
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