Individual
SUNGMEE YOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
(706) 823-3983
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
(706) 823-3983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003205628A
—
GA
01
—
08675
GA LICENSE
GA
Enumeration date
12/06/2009
Last updated
04/25/2024
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