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Organization

ASTOR T. LIM, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASTOR T LIM MD (PRESIDENT)
(912) 265-2343
Entity
Organization

Contact information

Practice address
3226 HAMPTON AVE, SUITE E, BRUNSWICK, GA 31520-4225
(912) 265-2343
(912) 265-7792
Mailing address
3226 HAMPTON AVE, SUITE E, BRUNSWICK, GA 31520-4225
(912) 265-2343
(912) 265-7792

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018819
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00223022B
GA
Enumeration date
05/30/2012
Last updated
05/30/2012
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