Andrew Jee Soo Kim, MD
Family Medicine in Clarkston, GA. Individual provider (NPI-1).
NPI number1053670133
StatusActive
Last updated in NPPESOct 7, 2026
Details
- NPI
- 1053670133
- Entity type
- Individual (NPI-1)
- Name
- Andrew Jee Soo Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2012
- Certification date
- Oct 7, 2026
- Last updated
- Oct 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 078379 | GA | Yes |
| 207V00000X | Obstetrics & Gynecology | 078379 | GA | |
| 208M00000X | Hospitalist | 078379 | GA |
Practice location
980 Rowland St Ste 4190Clarkston, GA 30021-2203
Phone 470-799-0044 · Fax 470-799-0045
Mailing address
980 Rowland St Ste 4190Clarkston, GA 30021-2203
Phone 470-799-0044 · Fax 470-799-0045
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Other Family Medicine Physician providers in Clarkston, GA
- Clarkston Primary & Urgent Care, LLCNPI 1043781420
- Greater Atlanta Family Healthcare LLCNPI 1215932751
- Minh-Tho Huynh, M.D.NPI 1144218082
- Esther Kim, MDNPI 1912341967
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- Lifeline Medical Center, LLCNPI 1629474796
- Dorothy A. O. White-Williams, M.D.NPI 1598897530
All 8 Family Medicine Physician providers in Clarkston · All 147 providers in Clarkston
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