Individual
JAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEM, CUMMING, GA 30040-3069
(678) 513-2273
(678) 513-8869
Mailing address
201 ABRAHAM FLEXNER WAY STE 600, LOUISVILLE, KY 40202-3841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91319
GA
Other
Enumeration date
04/03/2015
Last updated
06/20/2024
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