Search › Georgia › 163W00000X
Daesung Kim
NPI 1972466316 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4291 Hadley Park Rd
Sugar Hill, GA 30518 - Phone
- (918) 896-2255
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-03
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