Search › Georgia › 183500000X
Jo Kim
NPI 1356623193 · on the registry since 2011
Practice
- Address
- 2595 Peachtree Pkwy
Cumming, GA 30041 - Phone
- (678) 455-4544
- Fax
- (678) 455-7201
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
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
- 2011-09-19
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