Kim, Yong S
Kim, Yong S is an sole proprietor health care provider with primary practice located at 1742 Oak Rd , Snellville GA 30078-2234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Yong S can be contacted via phone (770) 638-1401.Contact Information
Primary practice address
1742 Oak Rd
Snellville GA 30078-2234
Phone: (770) 638-1401
Fax: (770) 638-1402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 046142 | Georgia |
Profile Details
| NPI number | 1164452942 |
|---|---|
| LBN Legal business name | Kim, Yong S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164452942 | NPPES |
| Georgia | MEDICAID | 000803536G |
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