Individual
FAN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 834-5878
Mailing address
4694 DEWITT DR, DULUTH, GA 30097-5607
(404) 834-5878
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH033055
GA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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