Individual
DONGIK SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2576 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-7290
(770) 962-4043
Mailing address
2576 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-7290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011703
GA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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