Individual
LEESHAH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
1 BISCAYNE DR NW UNIT 203, ATLANTA, GA 30309-1076
(404) 422-4367
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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