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Individual

EDWARD KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
57 EXECUTIVE PARK SOUTH NE STE 190, ATLANTA, GA 30329-2248
(404) 778-6390
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011107
GA

Other

Enumeration date
08/01/2013
Last updated
08/01/2013
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