Individual
SUMI G. SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(800) 562-4530
(706) 378-8864
Mailing address
PO BOX 3293, INDIANAPOLIS, IN 46206-3293
(317) 614-9863
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
059024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750216486A
—
GA
Enumeration date
05/02/2007
Last updated
01/31/2019
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