Individual
DR. PAUL I SUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3393 PEACHTREE RD NE, SUITE B 128, ATLANTA, GA 30326-1162
(404) 233-9296
(404) 841-9908
Mailing address
3071 WOODWALK DR SE, ATLANTA, GA 30339-8551
(404) 233-9296
(404) 841-9908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002386
STATE LICENSE
GA
01
—
45593
AVESIS
GA
05
—
793589733A
—
GA
Enumeration date
06/29/2007
Last updated
01/04/2013
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