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Individual

PAUL JOO-YOUNG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
777 HEMLOCK ST # 140, MACON, GA 31201-2102
(901) 581-5008
Mailing address
777 HEMLOCK STREET LN # 140, MACON, GA 31201
(478) 633-1851

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13447
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2021
Last updated
08/18/2021
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