Most Relevant Information
Provider Data
| NPI Number: | 1003586348 |
| Provider Name: | JUNG KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2021 |
| Last Updated: | 09/17/2021 |
Provider Practice Location
2600 CENTURY PKWY NE
ATLANTA
GA
303453125
Practice Location Phone/Fax
| Phone: | 4703221200 |
| Fax: |
Provider Mailing Location
2600 CENTURY PKWY NE
ATLANTA
GA
303453125
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |