Individual
EUGENE J. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 S PROVIDENCE RD, STE 180, WAXHAW, NC 28173-6313
(980) 993-6320
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-01831
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2011-01831
NC
207RP1001X
Pulmonary Disease Physician
2011-01831
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2011-01831
NC
Other
Enumeration date
05/05/2006
Last updated
07/15/2024
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