Basic Information
| Provider Information | |||||||||
| NPI: | 1538371364 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KIM | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | SOO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1661 LA FRANCE ST NE | ||||||||
| Address2: | UNIT 318 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303072163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6788793538 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1364 CLIFTON RD NE | ||||||||
| Address2: | BOX M-7 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303221059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047786382 | ||||||||
| FaxNumber: | 4047785495 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2007 | ||||||||
| LastUpdateDate: | 09/14/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A98499 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 067144 | GA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.