Individual
JIMMY SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
85127
GA
2084N0400X
Neurology Physician
Primary
LL39326
SC
Other
Enumeration date
05/03/2016
Last updated
10/23/2020
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