Organization
HARALSON MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IN SOOK KIM MD (SECRETARY)
(770) 537-4818
Entity
Organization
Contact information
Practice address
201 ALLEN MEMORIAL DR, BREMEN, GA 30110
(770) 537-4818
(770) 537-6684
Mailing address
201 ALLEN MEMORIAL DR, BREMEN, GA 30110
(770) 537-4818
(770) 537-6684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16085
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022742B
—
GA
Enumeration date
08/07/2006
Last updated
05/07/2008
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