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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EUGENE T KIM, MD

Active Sole Proprietor

DR. EUGENE T KIM, MD is a Hospice and Palliative Medicine healthcare provider located in DOUGLASVILLE, Georgia. NPI 1538456843 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · DOUGLASVILLE, GA

Registration Details

NPI Number
1538456843
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2011 (15.135654670292 yrs)
Last Updated
Feb 23, 2021
Licenses
87480 (GA)
T2453 (MS)
87480 (GA)
MT205630 (PA)
53095 (TN)
Sole Proprietor
Yes

Practice Information

Address
7126 AVALON DR
DOUGLASVILLE, GA, 301355600
Browse GA providers · Browse ZIP 30135
Phone
9195998107
Fax
7709479196
Primary Specialty
Hospice and Palliative Medicine
207QH0002X
Additional Specialty
Family Medicine
Additional Specialty
Geriatric Medicine
Additional Specialty
Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.