Kim, Jiyeon

Kim, Jiyeon is an individual health care provider with primary practice located at 3610 Peachtree Industrial Blvd Suite 100, Duluth GA 30096-4953. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kim, Jiyeon can be contacted via phone (678) 417-0332.

Contact Information

Primary practice address
3610 Peachtree Industrial Blvd Suite 100 Duluth GA 30096-4953
Phone: (678) 417-0332
Fax: (470) 200-2823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F0317639 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0317639 Georgia

Profile Details

NPI number 1154863520
LBN Legal business name Kim, Jiyeon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2016
Last updated Nov 16th, 2016 - 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.

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