Diana Kim, D.O.
Hospitalist in Stockbridge, GA. Individual provider (NPI-1).
NPI number1508200718
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1508200718
- Entity type
- Individual (NPI-1)
- Name
- Diana Kim
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2013
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 077065 | GA | Yes |
| 207R00000X | Internal Medicine | 077065 | GA |
Other names
- Diana Lee (Former Name)
Practice location
1133 Eagles Landing PkwyStockbridge, GA 30281-5085
Phone 678-604-1000
Mailing address
35 Collier Rd NwSuite 635
Atlanta, GA 30309-1613
Phone 404-367-3014
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