MEDICARE: DR. PHOEBE M SUN 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	174400000X	Specialist	047808	GA

General Provider Information

NPI Number	:	1144222951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHOEBE M SUN M.D.

Provider Business Mailing Address
First Line	:	980 JOHNSON FERRY RD NE
Second Line	:	#720
City	:	ATLANTA
State	:	GA
Zip	:	30342-1626
Country	:	US
Telephone Number	:	404-252-3898
Fax Number	:	404-843-0719

Provider Business Practice Location Address
First Line	:	980 JOHNSON FERRY RD NE
Second Line	:	#720
City	:	ATLANTA
State	:	GA
Zip	:	30342-1626
Country	:	US
Telephone Number	:	404-252-3898
Fax Number	:	404-843-0719

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. PHOEBE M SUN M.D.” Practice Location

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