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Search › Georgia › 225100000X

Tae Kim, PT

NPI 1538194808 · on the registry since 2006 · sole proprietor

Practice

Address
6062 Buford Hwy
Suite 117
Norcross, GA 30071
Phone
(770) 446-0111
Fax
(770) 446-1360
Organisation at this address
Intermed Pc
Ko-Am Gwinnett Medical
United Medical Clinic Inc
Seoul Medical And Pain Clinic Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-11

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