IN SOOK KIM (NPI# 1154331114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154331114 |
| Entity Type | Individual |
| Full Name | IN SOOK KIM |
| Credential | MD |
| Practice Address |
201 Allen Memorial Dr Bremen GA 30110-2011 |
| Mailing Address |
201 Allen Memorial Dr Bremen GA 30110 |
| Practice Telephone | 7705374818 |
| Practice Fax Number | 7705376684 |
| Mailing Telephone | 7705374818 |
| Mailing Fax Number | 7705376684 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16085 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000016046A4 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619248333 | In S Kim | Acupuncturist | 2889 Plaza Del Amo Unit 526, Torrance, CA 90503-7391 | 2012-01-26 |
| 1184830309 | In Young Kim | Dentist | 9710 Garden Grove Blvd, B, Garden Grove, CA 92844-1644 | 2007-05-15 |
| 1689068603 | In Kim | Anesthesiology | 600 N Wolfe Street, Nelson 2-131, Baltimore, MD 21287-0005 | 2015-03-27 |
| 1619296423 | In Tae Kim | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2010-05-19 |
| 1760466791 | In Kim | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2005-12-02 |
| 1083601710 | In Chang Kim | Internal Medicine | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
| Street Address |
201 ALLEN MEMORIAL DR |
| City | BREMEN |
| State | GA |
| Zip Code | 30110-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851300842 | Haralson Medical Clinic, PC | Family Medicine | 201 Allen Memorial Dr, Bremen, GA 30110 | 2006-08-07 |
| 1427067404 | Pyung Jung Kim | Family Medicine | 201 Allen Memorial Dr, Bremen, GA 30110-2011 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1013466788 | Jodi Elizabeth Walker | Speech-Language Pathologist | 35 Shelnutt Dr, Bremen, GA 30110 | 2016-09-23 |
| 1396927539 | Candace Kay Heard | Pharmacist | 240 Tallapoosa St, Bremen, GA 30110 | 2007-11-29 |
| 1871781476 | Allison Kimball Key | Family Medicine | Po Box 728, 222 Gordon Street, Bremen, GA 30110 | 2007-10-09 |
| 1013041706 | Haralson County Board of Health | Day Training, Developmentally Disabled Services | 1449 Cashtown Road, Bremen, GA 30110 | 2007-03-15 |
| 1942343892 | Haralson County Board of Health | Community/Behavioral Health | 1449 Temple Road, Bremen, GA 30110 | 2007-02-14 |
| 1649332008 | Anna Christine Jones | Nurse Practitioner | 101 Tom Murphy Industrial Blvd, Bremen, GA 30110 | 2006-12-14 |
| 1063584324 | Regina Lorren Holloway | Allergy & Immunology | 308 Carrollton Street, Bremen, GA 30110 | 2006-11-14 |
| 1285725887 | Daniel E Mcbrayer | Specialist | 306 Laurel St Ste C, Bremen, GA 30110 | 2006-09-27 |
| 1881795086 | William Robert Lovvorn | Pharmacist | 240 Tallapoosa Street E, Lovvorn Pharmacy, Bremen, GA 30110 | 2006-09-26 |
| Find all providers in zip 30110 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003023987 | Bremen Family Medicine | General Practice | 308 Carrollton St, Bremen, GA 30110-2015 | 2007-05-17 |
| 1801940200 | Steve O Odeh | General Practice | 509 Alabama Ave S, Bremen, GA 30110-2007 | 2007-01-22 |
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| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
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| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.