Individual
STAN CHEUL SONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303
(404) 616-9355
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80979
GA
208000000X
Pediatrics Physician
80979
GA
2083P0901X
Public Health & General Preventive Medicine Physician
80979
GA
Other
Enumeration date
06/22/2011
Last updated
07/24/2018
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