Kim, Jeffrey L

Kim, Jeffrey L is an individual health care provider with primary practice located at 118 Mill St Ste 110 , Woodstock GA 30188. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kim, Jeffrey L can be contacted via phone (678) 741-5000.

Contact Information

Primary practice address
118 Mill St Ste 110 Woodstock GA 30188
Phone: (678) 741-5000
Fax: (770) 517-5004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 056117 Georgia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 056117 Georgia

Profile Details

NPI number 1275506560
LBN Legal business name Kim, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 31st, 2018 - about 6 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 1275506560 NPPES
Georgia MEDICAID 247569424B

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