Healthcare Provider Details

I. General information

NPI: 1053133264
Provider Name (Legal Business Name): AMERICAN ENDOCRINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6335 HOSPITAL PKWY STE 305
JOHNS CREEK GA
30097-5712
US

IV. Provider business mailing address

744 OLDE TOWNE LN
MARIETTA GA
30068-4344
US

V. Phone/Fax

Practice location:
  • Phone: 770-599-5710
  • Fax:
Mailing address:
  • Phone: 410-693-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HYUNSUK SUH
Title or Position: FOUNDER AND CHIEF SURGEON
Credential:
Phone: 404-693-0386