Individual
DR. SIDNEY A FUNK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 JOHNSON FERRY RD NE, #720, ATLANTA, GA 30342-1626
(404) 252-3898
(404) 843-0719
Mailing address
980 JOHNSON FERRY RD NE, #720, ATLANTA, GA 30342-1626
(404) 252-3898
(404) 843-0719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011333
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008716C
—
GA
Enumeration date
08/11/2005
Last updated
07/08/2007
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