| Advent Internal Medicine | |
|
11 Sunshine Ln Columbus NC 28722 | |
| (828) 859-7659 | |
| Not Available |
| Full Name | Advent Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Sunshine Ln, Columbus, North Carolina |
| Authorized Official Name and Position | George Gi-min Kim (MD/OWNER) |
| Authorized Official Contact | 8288597659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advent Internal Medicine Po Box 219 Lynn NC 28750-0219 Ph: (828) 859-7659 | Advent Internal Medicine 11 Sunshine Ln Columbus NC 28722 Ph: (828) 859-7659 |
| NPI Number | 1770619439 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/02/2019 |
| Medicare PECOS PAC ID | 6608833660 |
|---|---|
| Medicare Enrollment ID | O20041213000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770619439 | NPI | - | NPPES |
| DD6796 | Other | NC | RAILROAD MEDICARE |
| 1061Y | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9700614 (North Carolina) | Primary |
| Provider Name | George Gi Min Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508906132 PECOS PAC ID: 2062479025 Enrollment ID: I20041215000178 |
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