Kim, Beomjune B
Kim, Beomjune B is an sole proprietor health care provider with primary practice located at 600 Celebrate Life Pkwy , Newnan GA 30265-8001. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kim, Beomjune B can be contacted via phone (770) 400-6000.Contact Information
Primary practice address
600 Celebrate Life Pkwy
Newnan GA 30265-8001
Phone: (770) 400-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD.205951 | Louisiana |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 34607 | Oklahoma |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 88953 | Georgia |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 34607 | Oklahoma |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 34607 | Oklahoma |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 88953 | Georgia |
Profile Details
| NPI number | 1598931735 |
|---|---|
| LBN Legal business name | Kim, Beomjune B |
| Credentials | DMD, MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2008 |
| Last updated | Aug 24th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598931735 | NPPES |
| Georgia | Other | 88953 | GA MEDICAL LICENSE |
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