Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 83945 | GA |
NPI | 1003258674 |
---|---|
Provider Name | Dr. Youl Yee Kim |
First Address | Cumming, GA 30040-1252 |
Second Address | Villa Rica, GA 30180-7041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2013 |
Last Update Date | 24/02/2020 |