Individual
SUN(SUSAN) W YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1149 SEMINOLE TRL, CHARLOTTESVILLE, VA 22901-2897
(434) 978-3998
Mailing address
1756 HYLAND CREEK CIR, CHARLOTTESVILLE, VA 22911-3591
(217) 840-5841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
IL
Enumeration date
09/14/2006
Last updated
02/19/2025
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