Kim, David Nam Young
Kim, David Nam Young is an sole proprietor health care provider with primary practice located at 3903 S Cobb Dr Se Suite 200, Smyrna GA 30080-8504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, David Nam Young can be contacted via phone (770) 435-3214.Contact Information
Primary practice address
3903 S Cobb Dr Se Suite 200
Smyrna GA 30080-8504
Phone: (770) 435-3214
Fax: (770) 437-6911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 050306 | Georgia |
Profile Details
| NPI number | 1568433498 |
|---|---|
| LBN Legal business name | Kim, David Nam Young |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 2nd, 2021 - about 3 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 | 1568433498 | NPPES |
| Georgia | MEDICAID | 00922864A |
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