Individual
MS. HYO JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1357 HEMBREE ROAD, SUITE 150, ROSWELL, GA 30076-5723
(770) 664-6075
(770) 664-5131
Mailing address
1357 HEMBREE ROAD, SUITE 150, ROSWELL, GA 30076-5723
(770) 664-6075
(770) 664-5131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
118947
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN118947NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112614A
—
GA
Enumeration date
02/28/2007
Last updated
10/06/2011
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