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Ja Young Kongkim

NPI 1932517257 · on the registry since 2014 · sole proprietor

Practice

Address
4195 Pleasant Hill Rd
Suite D
Duluth, GA 30096
Phone
(727) 667-4692
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-30

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