Organization
ATLANTA INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO KIM D.O. (CEO)
(770) 858-5252
Entity
Organization
Contact information
Practice address
2400 PLEASANT HILL RD, SUITE 300, DULUTH, GA 30096-4396
(770) 858-5252
Mailing address
2400 PLEASANT HILL RD, SUITE 300, DULUTH, GA 30096-4396
(770) 858-5252
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
64660
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109338A
—
GA
Enumeration date
01/02/2015
Last updated
01/03/2015
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