Individual
DR. GEORGE GI-MIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2536 LYNN RD, SUITE B, TRYON, NC 28782-7875
(828) 859-7659
(828) 859-2470
Mailing address
PO BOX 219, LYNN, NC 28750-0219
(828) 859-7659
(828) 859-2470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9700614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1061Y
BLUE CROSS BLUE SHIELD
NC
05
—
891061Y
—
NC
05
—
N0061D
—
SC
01
—
P00243621
RAILROAD MEDICARE
NC
Enumeration date
02/06/2007
Last updated
04/22/2008
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