| Dr Annie Kim, MD | |
| 10515 Bells Ferry Rd, Suite 200, Canton, GA 30114-4204 | |
| (770) 720-8551 | |
| Not Available | 
| Full Name | Dr Annie Kim | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 10515 Bells Ferry Rd, Canton, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750608972 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 71538 (Georgia) | Primary | 
| Entity Name | Northside Surgical Professional Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Annie Kim, MD 900 Towne Lake Pkwy, Ste 404, Woodstock, GA 30189-1604 Ph: (770) 926-9229 | Dr Annie Kim, MD 10515 Bells Ferry Rd, Suite 200, Canton, GA 30114-4204 Ph: (770) 720-8551 | 
| Dominik Kissing, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 | |
| Dr. Patrick Thomas Mccarthy, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 470 Northside Cherokee Blvd Ste 290, Canton, GA 30115 Phone: 770-721-9420 Fax: 770-721-9421 | |
| Dr. Courtney Evans Sinclair, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 310 Paper Trail Way, Suite 109, Canton, GA 30115 Phone: 770-720-4100 Fax: 770-720-4141 | |
| Michelle A Glasgow, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 400, Canton, GA 30115 Phone: 770-721-9400 Fax: 770-721-9401 | |
| Ansley Stone,  Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 227 Riverstone Dr, Canton, GA 30114 Phone: 770-720-7733 Fax: 770-720-7557 | |
| Dr. Lisa Mcleod, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 227 Riverstone Dr, Canton, GA 30114 Phone: 770-720-7733 Fax: 770-720-7557 | |
| Dr. Joel Edward Higgins, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 404-303-1224 Fax: 404-303-1325 |