Mikael Woo Kim, DC | |
2472 Pleasant Hill Rd, 203a, Duluth, GA 30096-1746 | |
(770) 623-9229 | |
Not Available |
Full Name | Mikael Woo Kim |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2472 Pleasant Hill Rd, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942491352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC29501 (California) | Secondary |
111N00000X | Chiropractor | CHIR009239 (Georgia) | Primary |
Provider Name | Dana Health And Wellness Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023421914 PECOS PAC ID: 5890917298 Enrollment ID: O20141120000605 |
Mailing Address | Practice Location Address |
---|---|
Mikael Woo Kim, DC 2472 Pleasant Hill Rd, 203a, Duluth, GA 30096-1746 Ph: (770) 623-9229 | Mikael Woo Kim, DC 2472 Pleasant Hill Rd, 203a, Duluth, GA 30096-1746 Ph: (770) 623-9229 |
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