Kim, Linda Jong Un

Kim, Linda Jong Un is an individual health care provider with primary practice located at 101 Crye Leike Dr , Fort Oglethorpe GA 30742-4056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Kim, Linda Jong Un can be contacted via phone (706) 648-4336.

Contact Information

Primary practice address
101 Crye Leike Dr Fort Oglethorpe GA 30742-4056
Phone: (706) 648-4336
Fax: (706) 861-4597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 53926 Tennessee
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 58890 Georgia

Profile Details

NPI number 1518011857
LBN Legal business name Kim, Linda Jong Un
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518011857 NPPES
Georgia MEDICAID 13359926E
Georgia MEDICAID 132359926D

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