| Jung Eun Kim, | |
|
2600 Century Pkwy Ne, Atlanta, GA 30345-3125 | |
| (470) 322-1200 | |
| Not Available |
| Full Name | Jung Eun Kim |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2600 Century Pkwy Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003586348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11594 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Medlife Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083249114 PECOS PAC ID: 4789005463 Enrollment ID: O20200604002308 |
| Entity Name | Medlife Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558974709 PECOS PAC ID: 1557761087 Enrollment ID: O20210621001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Jung Eun Kim, 2600 Century Pkwy Ne, Atlanta, GA 30345-3125 Ph: Not Available | Jung Eun Kim, 2600 Century Pkwy Ne, Atlanta, GA 30345-3125 Ph: (470) 322-1200 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 |
Ruth Flaherty, CCC-SLP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 |
Kristen Swain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 |
Nechama Dina Ezagui, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 |