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Individual

MISS ANNIE KYUNGJIN HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1505 NORTHSIDE FORSYTH DRIVE, SUITE 2500, CUMMING, GA 30041
(770) 292-4540
(770) 292-4541
Mailing address
1945 SAVOY DR APT 5205, ATLANTA, GA 30341-1036
(205) 601-2039

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN250618
GA

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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