Individual
GINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
121 LANGLEY DR, LAWRENCEVILLE, GA 30046-6930
(770) 685-1300
(770) 685-1311
Mailing address
121 LANGLEY DR, LAWRENCEVILLE, GA 30046-6930
(770) 685-1300
(770) 685-1311
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AG0513003
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN204356
GA
Other
Enumeration date
05/29/2013
Last updated
06/07/2021
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