Individual
EDMUND SUNG JOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PROFESSIONAL DR STE 200, LAWRENCEVILLE, GA 30046-7651
(770) 513-4000
(770) 995-3495
Mailing address
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 513-4000
(770) 995-3495
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
038273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000362392L
—
GA
Enumeration date
01/23/2007
Last updated
04/06/2021
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