Individual
DR. LINDSAY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1600 CLIFTON RD NE, MS H24-5, ATLANTA, GA 30329-4018
(404) 639-5218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65448
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65448
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
05/09/2008
Last updated
09/24/2019
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