JISOO KIM

GREENVILLE, NC
NPI1154819878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NC  2022-02860)
Enumeration Date2018-04-27
Last Update Date2024-02-16
Business Address
JISOO KIM
517 MOYE BLVD
GREENVILLE, NC 27834-2849
Phone number: 252-744-2393
Mailing Address
JISOO KIM
PO BOX 751069
CHARLOTTE, NC 28275-1069
Phone number:
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