Song, Mimi Kim

Song, Mimi Kim is an individual health care provider with primary practice located at 10692 Medlock Bridge Rd Ste 100A , Johns Creek GA 30097-8497. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Song, Mimi Kim can be contacted via phone (404) 446-2496.

Contact Information

Primary practice address
10692 Medlock Bridge Rd Ste 100A Johns Creek GA 30097-8497
Phone: (404) 446-2496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X RN213220 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN213220 Georgia

Profile Details

NPI number 1609398155
LBN Legal business name Song, Mimi Kim
Credentials MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2017
Last updated Feb 17th, 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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