Provider Demographics
NPI:1326117169
Name:LIM, SORAYA T (MD)
Entity Type:Individual
Prefix:
First Name:SORAYA
Middle Name:T
Last Name:LIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5150 BUFORD HWY NE
Mailing Address - Street 2:SUITE C-200
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-1153
Mailing Address - Country:US
Mailing Address - Phone:770-454-9199
Mailing Address - Fax:770-458-1388
Practice Address - Street 1:5150 BUFORD HWY NE
Practice Address - Street 2:SUITE C-200
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-1153
Practice Address - Country:US
Practice Address - Phone:770-454-9199
Practice Address - Fax:770-458-1388
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA057096208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics