Organization
LOMA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOOYOUNG KIM (CEO)
(770) 696-7456
Entity
Organization
Contact information
Practice address
6011 WESTERN HILLS DR, 100, NORCROSS, GA 30071-3483
(770) 696-7456
Mailing address
6011 WESTERN HILLS DR., 100, NORCROSS, GA 30071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008481
GA
207Q00000X
Family Medicine Physician
054221
GA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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