Organization
ORTHO-NEURO CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOON WHEE KIM M.D. (GENERAL PARTNER)
(404) 373-0400
Entity
Organization
Contact information
Practice address
1376 CHURCH ST, DECATUR, GA 30030-1519
(404) 373-0400
Mailing address
1376 CHURCH ST, DECATUR, GA 30030-1519
(404) 373-0400
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
3002
GA
171100000X
Acupuncturist
Primary
031958
GA
208100000X
Physical Medicine & Rehabilitation Physician
031958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11627735
CAQH
GA
Enumeration date
01/24/2007
Last updated
09/11/2025
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