| David E Kim Md Pc | |
|
491 East Main St Cartersville GA 30121-3353 | |
| (770) 387-4512 | |
| (770) 334-3667 |
| Full Name | David E Kim Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 491 East Main St, Cartersville, Georgia |
| Authorized Official Name and Position | Feliciana O Kim (OFFICE MANAGER) |
| Authorized Official Contact | 6789235049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Kim Md Pc 491 East Main St Cartersville GA 30121-3353 Ph: (770) 387-4512 | David E Kim Md Pc 491 East Main St Cartersville GA 30121-3353 Ph: (770) 387-4512 |
| NPI Number | 1194919381 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 2163510983 |
|---|---|
| Medicare Enrollment ID | O20071113000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194919381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 043675 (Georgia) | Primary |
| Provider Name | Ginger L Yrabedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417652 PECOS PAC ID: 5395072656 Enrollment ID: I20190808002441 |
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