Individual
SOPHIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2895 ZELDA RD, MONTGOMERY, AL 36106-2697
(224) 715-1032
Mailing address
3625 BRASELTON HWY STE 202, DACULA, GA 30019-4695
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
GAA-NP002128
GA
Other
Enumeration date
04/01/2022
Last updated
02/01/2025
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