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Mr. Beomjune B Kim

Oral and Maxillofacial Surgeon Facial Plastic Surgeon Plastic Surgeon (Head & Neck) Oral & Maxillofacial Surgeon and 2 more

600 Celebrate Life Pkwy
Newnan , Georgia 30265-8001

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon
  • Facial Plastic Surgeon
  • Plastic Surgeon (Head & Neck)

Languages spoken

  • English

Location

600 Celebrate Life Pkwy Newnan , Georgia 30265-8001

First Address

  • Mr. Beomjune B Kim
  • 600 Celebrate Life Pkwy
  • Newnan, GA
  • Zip : 30265-8001
  • Phone : (770) 400-6000

Second Address

  • Mr. Beomjune B Kim
  • 600 Celebrate Life Pkwy
  • Newnan, GA
  • Zip : 30265-8001
  • Phone : (770) 400-6000

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FAQs


Where did Mr. Beomjune B Kim attend graduate school?

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Where did Mr. Beomjune B Kim do his residency?

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Where did Mr. Beomjune B Kim do his fellowship?

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Is Mr. Beomjune B Kim board certified?

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What type of doctor is Mr. Beomjune B Kim

Oral and Maxillofacial Surgeon

In what state does Mr. Beomjune B Kim practice in?

Georgia

Where is Mr. Beomjune B Kim ’s practice located?

600 Celebrate Life Pkwy , Newnan, Georgia, 30265-8001

What is Mr. Beomjune B Kim ’s gender?

Male

Is Mr. Beomjune B Kim a sole practitioner?

No

Is Mr. Beomjune B Kim accepting new patients?

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What languages does Mr. Beomjune B Kim speak?

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Does Mr. Beomjune B Kim accept insurance?

Yes, Mr. Beomjune B Kim accepts insurance

Does Mr. Beomjune B Kim offers telemedicine?

Mr. Beomjune B Kim has not indicated if he offers telemedicine

What is Mr. Beomjune B Kim ’s professional license number?

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What is Mr. Beomjune B Kim ’s NPI number?

1598931735

Does Mr. Beomjune B Kim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223S0112X Oral and Maxillofacial Surgeon 88953 GA
N 204E00000X Oral & Maxillofacial Surgeon 34607 OK
N 204E00000X Oral & Maxillofacial Surgeon MD.205951 LA
N 207YS0123X Facial Plastic Surgeon 34607 OK
N 207YX0007X Plastic Surgeon (Head & Neck) 34607 OK
N 207YX0007X Plastic Surgeon (Head & Neck) 88953 GA

National Provider Identifier

NPI 1598931735
Provider Name Mr. Beomjune B Kim
First Address Newnan, GA 30265-8001
Second Address Newnan, GA 30265-8001
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 07/05/2008
Last Update Date 24/08/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
88953 GA MEDICAL LICENSE (01) GA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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