Kim, David D
Kim, David D is an individual health care provider with primary practice located at 4849 Paulsen St Ste 312 , Savannah GA 31405-4426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Kim, David D can be contacted via phone (912) 483-8817.Contact Information
Primary practice address
4849 Paulsen St Ste 312
Savannah GA 31405-4426
Phone: (912) 483-8817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 047336 | Georgia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 047336 | Georgia |
Profile Details
| NPI number | 1508805052 |
|---|---|
| LBN Legal business name | Kim, David D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1508805052 | NPPES |
| Georgia | Other | 000792932H | MEDICAID- VIDALIA |
| Georgia | MEDICAID | 00792932B | MEDICAID- VIDALIA |
| Georgia | Other | 000792932F | MEDICAID- VIDALIA |
| Georgia | Other | 1508805052 | MEDICAID- VIDALIA |
| Georgia | Other | 782177 | MEDICAID- VIDALIA |
| Georgia | Other | GPA977 | MEDICAID- VIDALIA |
| Georgia | Other | 00792932G | MEDICAID- VIDALIA |
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