Individual
DAVID KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022-4458
(770) 442-1911
(770) 442-0306
Mailing address
PO BOX 117598, ATLANTA, GA 30368-7598
(770) 442-1911
(770) 442-0306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9515
GA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
05/08/2026
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