MEDICARE: DR. MICHAEL KIM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	88183	GA

General Provider Information

NPI Number	:	1407176852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL KIM M.D.

Provider Business Mailing Address
First Line	:	3610 BOGAN MILL RD
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-7339
Country	:	US
Telephone Number	:	513-460-8906
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 PLEASANT HILL RD STE 100
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-8030
Country	:	US
Telephone Number	:	678-312-7800
Fax Number	:	678-312-7818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	06/01/2022

Similar Medicare Providers

1336956630 — SARA MUNROE STEWART CNP
Practice Location Address:

3855 PLEASANT HILL RD STE 480
DULUTH, GA
30096-8030

Practice Phone: 770-623-6433
Practice Fax: 770-623-6416

1063486546 — DR. KIM ELAINE SCHMITT MD
Practice Location Address:

3855 PLEASANT HILL RD STE 420
DULUTH, GA
30096-8030

Practice Phone: 770-495-1955
Practice Fax: 770-232-9961

1316904923 — DR. THADDEUS IVORY LANCASTER MD
Practice Location Address:

3855 PLEASANT HILL RD STE 100
DULUTH, GA
30096-8030

Practice Phone: 678-312-7800
Practice Fax: 678-312-7818

1588753719 — DR. ROBERT ARTHUR GADLAGE M.D.
Practice Location Address:

3855 PLEASANT HILL RD STE 420
DULUTH, GA
30096-8030

Practice Phone: 770-495-1955
Practice Fax: 770-232-9961

1972929172 — GENEVIEVE SLAUGHTER NP-C
Practice Location Address:

3855 PLEASANT HILL RD STE 100
DULUTH, GA
30096-8030

Practice Phone: 678-312-7800
Practice Fax: 678-312-7818

1487068904 — DR. JOSEPH SONG MA, MD
Practice Location Address:

3855 PLEASANT HILL RD STE 220
DULUTH, GA
30096-8030

Practice Phone: 770-979-9427
Practice Fax:

Directions to “ DR. MICHAEL KIM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.