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1215149554
CHANG SOO KIM
DULUTH, GA
NPI
1215149554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 59806)
Enumeration Date
2007-05-07
Last Update Date
2017-06-22
Business Address
DR. CHANG SOO KIM MD
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096-4817
Phone number: 770-614-9799
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Mailing Address
DR. CHANG SOO KIM MD
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096-4817
Phone number: 770-614-9799
Copy
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