Kim, Joon Y

Kim, Joon Y is an individual health care provider with primary practice located at 1000 Corporate Center Dr Ste 100, Morrow GA 30260-4180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, Joon Y can be contacted via phone (770) 968-8888.

Contact Information

Primary practice address
1000 Corporate Center Dr Ste 100 Morrow GA 30260-4180
Fax: (770) 960-2473
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26318 Georgia

Profile Details

NPI number 1942295233
LBN Legal business name Kim, Joon Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 25th, 2014 - about 11 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 1942295233 NPPES
Georgia MEDICAID 000290078B
Georgia Other C16012

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