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NPI Code Detail

MEDICARE: DR. RENEE SUNDAY M.D.

MEDICARE:  DR. RENEE  SUNDAY  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
1207L00000XAnesthesiology Physician050488GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912976226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENEE SUNDAY M.D.
Provider Business Mailing Address
First Line : PO BOX 740209
Second Line : DEPT 1029
City : ATLANTA
State : GA
Zip : 30374-0209
Country : US
Telephone Number : 941-360-1566
Fax Number : 941-358-9818
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD NE
Second Line : SUITE 680
City : ATLANTA
State : GA
Zip : 30342-5000
Country : US
Telephone Number : 404-705-6985
Fax Number : 404-851-9950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/13/2010

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Directions to “ DR. RENEE SUNDAY M.D.” Practice Location

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