Kim, Edmund Sung Joon

Kim, Edmund Sung Joon is an individual health care provider with primary practice located at 600 Professional Dr Ste 200 , Lawrenceville GA 30046-7651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Edmund Sung Joon can be contacted via phone (770) 513-4000.

Contact Information

Primary practice address
600 Professional Dr Ste 200 Lawrenceville GA 30046-7651
Phone: (770) 513-4000
Fax: (770) 995-3495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 038273 Georgia

Profile Details

NPI number 1467506717
LBN Legal business name Kim, Edmund Sung Joon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467506717 NPPES
Georgia MEDICAID 000362392L

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