# SUN PM&R LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689208399
- **Authorized official:** JIDONG SUN MD (SOLE PROPRIETER)
- **Authorized official phone:** (732) 241-5585

## Contact information

- **Practice address:** 4810 N KINGS HWY, MYRTLE BEACH, SC 29577-2558
- **Practice address phone:** (732) 241-5585
- **Practice address fax:** (732) 662-5226
- **Mailing address:** 1525 GENOA CT, MYRTLE BEACH, SC 29579-5249
- **Mailing address phone:** (908) 902-3474
- **Mailing address fax:** (732) 662-5226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020