Kim, Gina

Kim, Gina is an individual health care provider with primary practice located at 121 Langley Dr , Lawrenceville GA 30046-6930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kim, Gina can be contacted via phone (770) 685-1300.

Contact Information

Primary practice address
121 Langley Dr Lawrenceville GA 30046-6930
Phone: (770) 685-1300
Fax: (770) 685-1311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN204356 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG0513003 Georgia

Profile Details

NPI number 1629415880
LBN Legal business name Kim, Gina
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2013
Last updated Jun 7th, 2021 - about 5 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.

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