Individual
MR. HAECHE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(336) 882-4615
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079168
—
SC
Enumeration date
09/12/2005
Last updated
07/30/2007
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