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Eda Kim, M.D
NPI 1013306752 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1600 N Brown Rd
Lawrenceville, GA 30043 - Phone
- (678) 710-6872
- Organisation at this address
- Proactive Md Ga, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 632 Broadway Ph, New York, NY
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia