Kim, Jinahn
Kim, Jinahn is an sole proprietor health care provider with primary practice located at 1325 Satellite Blvd. Bldg. 700, Ste 701A, Suwanee GA 30024-4651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Jinahn can be contacted via phone (678) 417-1255.Contact Information
Primary practice address
1325 Satellite Blvd. Bldg. 700, Ste 701A
Suwanee GA 30024-4651
Phone: (678) 417-1255
Fax: (678) 417-1258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054442 | Georgia |
Profile Details
| NPI number | 1922057702 |
|---|---|
| LBN Legal business name | Kim, Jinahn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Aug 17th, 2017 - about 8 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 | 1922057702 | NPPES |
| Other | 511I110297 | MEDICARE PTAN | |
| MEDICAID | 921315018A | MEDICARE PTAN |
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