Kim, Hyo Jin

Kim, Hyo Jin is an individual health care provider with primary practice located at 1357 Hembree Road Suite 150, Roswell GA 30076-5723. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kim, Hyo Jin can be contacted via phone (770) 664-6075.

Contact Information

Primary practice address
1357 Hembree Road Suite 150 Roswell GA 30076-5723
Phone: (770) 664-6075
Fax: (770) 664-5131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 118947 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN118947NP Georgia

Profile Details

NPI number 1720116163
LBN Legal business name Kim, Hyo Jin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Oct 6th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720116163 NPPES
Georgia MEDICAID 003112614A

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