Organization
GEORGIA GWINNETT CLINIC
Active
Organization
GEORGIA GWINNETT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BYUNG KIM (MANAGER)
(678) 587-5390
Entity
Organization
Contact information
Practice address
2856 BUFORD HIGHWAY, SUITE 7, DULUTH, GA 30096
(678) 587-5390
(678) 587-5314
Mailing address
2856 BUFORD HIGHWAY, SUITE 7, DULUTH, GA 30096
(678) 587-5390
(678) 587-5314
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR008710
GA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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