SU MI SHON KWAK

DECATUR, GA
NPI1316663479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  nco000001)
Enumeration Date2022-10-19
Last Update Date2022-10-19
Business Address
SU MI SHON KWAK
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
SU MI SHON KWAK
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111