NPI 1013504562

Jin Ki Min

Practitioner Pharmacist Martinez, GA

Practice location

Address: 672 Furys Ferry Rd, Martinez, GA 30907-8945
Phone: (706) 210-7505
Mailing address: 3010 English Ln APT 714, Evans, GA 30809-9136

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH032470 (GA)

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Registry record

NPI: 1013504562
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2020
Record last updated: 30 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.