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Individual

CHAN YOON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1000 CORPORATE CENTER DR, MORROW, GA 30260-4180
(770) 968-8888
Mailing address
3497 LORI LN, DULUTH, GA 30096-7302
(678) 469-5347

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003537
GA

Other

Enumeration date
10/03/2023
Last updated
10/03/2023
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