Kim, Chang Soo
Kim, Chang Soo is an sole proprietor health care provider with primary practice located at 3590 Peachtree Industrial Blvd , Duluth GA 30096-4817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Chang Soo can be contacted via phone (770) 614-9799.Contact Information
Primary practice address
3590 Peachtree Industrial Blvd
Duluth GA 30096-4817
Phone: (770) 614-9799
Fax: (770) 614-9789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 59806 | Georgia |
Profile Details
| NPI number | 1215149554 |
|---|---|
| LBN Legal business name | Kim, Chang Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jun 22nd, 2017 - about 7 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.
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