| NPI | 1164591335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNG G KIM Manager 478-743-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR 6493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 025990) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |