Georgia Integrative Medicine

Organization Active NPI Public Health & General Preventive Medicine Physician · Tyrone, GA

NPI 1760700199 · NPPES record last updated May 10, 2010

Key facts

NPI
1760700199
Entity type
Organization (NPI type 2)
Primary specialty
Public Health & General Preventive Medicine Physician 2083P0901X
License
058355 (GA)
Legal business name
GEORGIA INTEGRATIVE MEDICINE
Practice address
120 Milbrook Village Drive
Suite E
Tyrone, GA 30290
Phone
(678) 814-1333
Fax
(770) 774-4431
NPI assigned
May 10, 2010
Organization subpart
No

Authorized official

Name
Yoon Hang Kim, MD
Title
Director
Phone
(678) 814-1333

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2083P0901X 058355 GA Yes

Addresses

Primary practice location

120 Milbrook Village Drive
Suite E
Tyrone, GA 30290

Mailing address

120 Milbrook Village Drive
Suite E
Tyrone, GA 30290
Phone (678) 814-1333

Other providers in Tyrone, GA

All providers in Tyrone, GA · Public Health & General Preventive Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.