Provider Demographics
NPI:1114296910
Name:KIM, MIN HYUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:MIN HYUNG
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1325 SATELLITE BLVD NW BLDG 700
Mailing Address - Street 2:JK INTERNAL MEDICINE & GERIATRICS. P.C.
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4651
Mailing Address - Country:US
Mailing Address - Phone:678-417-1255
Mailing Address - Fax:678-417-1258
Practice Address - Street 1:1325 SATELLITE BLVD NW BLDG 700
Practice Address - Street 2:JK INTERNAL MEDICINE & GERIATRICS. P.C.
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4651
Practice Address - Country:US
Practice Address - Phone:678-417-1255
Practice Address - Fax:678-417-1258
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2016-03-24
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Provider Licenses
StateLicense IDTaxonomies
GA73850207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003161069AMedicaid