Individual
JOON Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CORPORATE CENTER DR, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Mailing address
1000 CORPORATE CENTER DR, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26318
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000290078B
—
GA
01
—
C16012
RAILROAD MEDICARE
GA
Enumeration date
09/13/2005
Last updated
03/25/2014
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