Individual
JAE MAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2351 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-7421
(770) 674-1036
Mailing address
2351 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-7421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014010
GA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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