HEE-JUN GREGORY KIM (NPI# 1275540932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275540932 |
| Entity Type | Individual |
| Full Name | HEE-JUN GREGORY KIM |
| Credential | MD |
| Practice Address |
706 W Barnard St Glennville GA 30427 |
| Mailing Address |
706 W Barnard St Glennville GA 30427-9677 |
| Practice Telephone | 9126542460 |
| Practice Fax Number | 9126541457 |
| Mailing Telephone | 9126542460 |
| Mailing Fax Number | 9126541457 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 26317 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
706 W BARNARD ST |
| City | GLENNVILLE |
| State | GA |
| Zip Code | 30427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972097608 | Carlton Wendell Durrence IIi | Pharmacist | 15214 Us Highway 301, Glennville, GA 30427 | 2018-06-16 |
| 1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
| 1902203722 | Kimberly Cason | Radiologic Technologist | 3945 Hwy 301, Glennville, GA 30427 | 2014-11-21 |
| 1598901696 | Jana Lamb Bunch | Nurse Practitioner | 1000 B. North Veterans Blvd, Glennville, GA 30427 | 2008-12-20 |
| 1407979420 | Sutton Place | Assisted Living Facility | 306 West Mann Street, Glennville, GA 30427 | 2007-04-06 |
| 1528192846 | Orthopedic Center PC | Orthopaedic Surgery | 601 S. Main St., Glennville, GA 30427 | 2007-03-16 |
| 1447339015 | Southern Medical Group | Internal Medicine | 601 S. Veterans Blvd, Glennville, GA 30427 | 2006-11-03 |
| 1154435550 | Roger W Beville | Family Medicine | 1000 B. North Veterans Boulevard, Glennville, GA 30427 | 2006-08-19 |
| 1265545115 | Sang Wan Oh | General Practice | 257 South Main Street, Reidsville, GA 30427 | 2006-08-16 |
| 1982613568 | Kenneth Lane Durrence | Physical Therapist | 104 W. Rustin St., Glennville, GA 30427 | 2006-08-05 |
| Find all providers in zip 30427 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | GLENNVILLE |
| Zip Code | 30427 |
Please comment or provide details below to improve the information on HEE-JUN GREGORY KIM.
| 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.