Search › Georgia › 183500000X
Jessica Kim
NPI 1194694034 · on the registry since 2025
Practice
- Address
- 620 W Pike St
Lawrenceville, GA 30046 - Phone
- (770) 339-1801
- Organisation at this address
- Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-30
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