SearchGeorgia183500000X

Daniel Kim

NPI 1801134150 · on the registry since 2013

Practice

Address
2455 Salem Rd Se
Conyers, GA 30013
Phone
(770) 922-3507
Fax
(770) 922-4498
Organisation at this address
Ingles Markets Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

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
2017-01-15

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