Amy E Kim
MOHS-Micrographic Surgeon
875 Johnson Ferry Rd Ne Suite 300
Atlanta
, Georgia 30342-1418
Amy E Kim
MOHS-Micrographic Surgeon
875 Johnson Ferry Rd Ne Suite 300
Atlanta
, Georgia 30342-1418
(404) 257-9931
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Amy E Kim
- 875 Johnson Ferry Rd Ne Suite 300
- Atlanta, GA
- Zip : 30342-1418
- Fax : (404) 257-9931
- Phone : (404) 257-9933
Second Address
- Amy E Kim
- 875 Johnson Ferry Rd Ne Suite 300
- Atlanta, GA
- Zip : 30342-1418
- Fax : (404) 257-9931
- Phone : (404) 257-9933
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 048252 | GA |
National Provider Identifier
| NPI | 1457312019 |
|---|---|
| Provider Name | Amy E Kim |
| First Address | Atlanta, GA 30342-1418 |
| Second Address | Atlanta, GA 30342-1418 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 28/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 048252 | STATE LICENSE (01) | GA |
| BG8313138 | DEA (01) | GA |
| H88076 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.