| NPI | 1770791139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNHEE KIM Owner 770-446-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 020893) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 014699) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |