Kim, Shawn S.

Kim, Shawn S. is an individual health care provider with primary practice located at 3473 Satellite Blvd Suite 108 North, Duluth GA 30096-8690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Shawn S. can be contacted via phone (770) 864-5510.

Contact Information

Primary practice address
3473 Satellite Blvd Suite 108 North Duluth GA 30096-8690
Phone: (770) 864-5510
Fax: (770) 864-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200401084 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 60393 Georgia

Profile Details

NPI number 1326027715
LBN Legal business name Kim, Shawn S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Dec 15th, 2011 - about 13 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 1326027715 NPPES
Georgia MEDICAID 642674634A
Georgia MEDICAID 8113721
Georgia Other 202I112967

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