Individual
CHOON-MAN JOSEPH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST WOODROW WILSON DRIVE, RADIOLOGY SERVICE, G.V. MONTGOMERY VA MEDICAL CENTER, JACKSON, MS 39216
(601) 362-4471
(601) 364-1589
Mailing address
123 MULLHERRIN DRIVE, MADISON, MS 39110
(601) 856-8990
(601) 856-8990
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
37542
MI
2085R0202X
Diagnostic Radiology Physician
NO A-30560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943329
—
MI
Enumeration date
11/18/2008
Last updated
11/18/2008
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