Individual
SUN MOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-7650
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-7650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2789
KY
207RC0000X
Cardiovascular Disease Physician
Primary
2018-00571
NC
207RI0011X
Interventional Cardiology Physician
2018-00571
NC
Other
Enumeration date
05/19/2011
Last updated
11/27/2019
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