Individual
HAE DONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
(706) 571-1120
Mailing address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
05/06/2025
Last updated
08/16/2025
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