MIMI KIM SONG

JOHNS CREEK, GA
NPI1609398155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: GA  RN213220)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: GA  RN213220)
Enumeration Date2017-07-15
Last Update Date2021-02-17
Business Address
MIMI KIM SONG MSN, CNM
10692 MEDLOCK BRIDGE RD STE 100A
JOHNS CREEK, GA 30097-8497
Phone number: 404-446-2496
Mailing Address
MIMI KIM SONG MSN, CNM
2615 STONEHILL DR
CUMMING, GA 30041-9305
Phone number: 678-793-0089