Individual
RILA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
2646 HENDERSON RIDGE DR, TUCKER, GA 30084-2443
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
041596
GA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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