Individual
LINDA JONG UN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 CRYE LEIKE DR, FORT OGLETHORPE, GA 30742-4056
(706) 648-4336
(706) 861-4597
Mailing address
4976 ALPHA LANE, HIXSON, TN 37343
(423) 308-0280
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
53926
TN
207K00000X
Allergy & Immunology Physician
Primary
58890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132359926D
—
GA
05
—
13359926E
—
GA
Enumeration date
01/23/2007
Last updated
04/11/2023
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