Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Su Mi Shon Kwak

Individual provider Family Nurse Practitioner · NPI 1316663479

Su Mi Shon Kwak is a Family Nurse Practitioner in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NCO000001 (GA)

Record details

NPI number1316663479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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