Kim, Anna S
Kim, Anna S is an individual health care provider with primary practice located at 3850 Pleasant Hill Rd , Duluth GA 30096-4807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Kim, Anna S can be contacted via phone (770) 814-8222.Contact Information
Primary practice address
3850 Pleasant Hill Rd
Duluth GA 30096-4807
Phone: (770) 814-8222
Fax: (678) 205-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD39251 | Alabama |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G39107A | Georgia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME149913 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G39107A | Georgia |
Profile Details
| NPI number | 1063869352 |
|---|---|
| LBN Legal business name | Kim, Anna S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2016 |
| Last updated | Aug 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063869352 | NPPES |
| Florida | MEDICAID | 110609400 |
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