Organization
SUN PM&R LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIDONG SUN MD (SOLE PROPRIETER)
(732) 241-5585
Entity
Organization
Contact information
Practice address
4810 N KINGS HWY, MYRTLE BEACH, SC 29577-2558
(732) 241-5585
(732) 662-5226
Mailing address
1525 GENOA CT, MYRTLE BEACH, SC 29579-5249
(908) 902-3474
(732) 662-5226
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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