Kim, Thomas Kwang Sung

Kim, Thomas Kwang Sung is an sole proprietor health care provider with primary practice located at 6062 Buford Hwy Suite 114, Norcross GA 30071-2424. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Thomas Kwang Sung can be contacted via phone (770) 557-0203.

Contact Information

Primary practice address
6062 Buford Hwy Suite 114 Norcross GA 30071-2424
Phone: (770) 557-0203
Fax: (678) 395-5453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 140875 New York

Profile Details

NPI number 1790034395
LBN Legal business name Kim, Thomas Kwang Sung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2012
Last updated May 3rd, 2014 - about 12 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 1790034395 NPPES
New York Other 140875 NEW YORK STATE MEDICAL LISCENSE ID NUMBER
New York MEDICAID 1790034395 NEW YORK STATE MEDICAL LISCENSE ID NUMBER

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