Individual
POH LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.N.P
Contact information
Practice address
6 EXECUTIVE PARK DR NE, SUITE 10, ATLANTA, GA 30329-2221
(404) 321-9900
(404) 321-4460
Mailing address
6 EXECUTIVE PARK DR NE, SUITE 10, ATLANTA, GA 30329-2221
(404) 321-9900
(404) 321-4460
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN145369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106182A
—
GA
Enumeration date
01/24/2011
Last updated
01/27/2012
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