Individual
DR. CHUN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 FOREST DR STE A, COLUMBIA, SC 29206-3105
(803) 738-9522
(803) 787-8026
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8790
SC
208000000X
Pediatrics Physician
8790
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087907
—
SC
Enumeration date
04/12/2006
Last updated
11/12/2024
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