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Contact Information

JEFFREY L KIM, MD
118 MILL ST STE 110
WOODSTOCK, GA30188
 Phone: 678-741-5000
 Fax: 770-517-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JEFFREY L KIM · (Male)

NPI # 1275506560
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 05/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 056117
  • GA Medicaid 247569424B
Hospital affiliation(s)
  • CAROLINAS MED CTR-UNIVERSITY - (Acute Care)
    8800 NORTH TYRON STREET
    CHARLOTTE, NC 28262
  • CAROLINAS MEDICAL CENTER-NORTHEAST - (Acute Care)
    920 CHURCH ST N
    CONCORD, NC 28025
  • WELLSTAR COBB HOSPITAL - (Acute Care)
    3950 AUSTELL RD
    AUSTELL, GA 30106
  • WELLSTAR KENNESTONE HOSPITAL - (Acute Care)
    677 CHURCH STREET
    MARIETTA, GA 30060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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