| NPI | 1821143298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOON WHEE KIM General Partner 404-373-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: GA 3002) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 031958) |
| 208100000X Physical Medicine & Rehabilitation (Licence: GA 031958) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |