Provider Demographics
NPI:1396391157
Name:SILVER SUN ACUNETWORK LLC
Entity Type:Organization
Organization Name:SILVER SUN ACUNETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAE SUN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:404-488-9648
Mailing Address - Street 1:5441 BUFORD HWY NE STE 202
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-1168
Mailing Address - Country:US
Mailing Address - Phone:770-451-7848
Mailing Address - Fax:770-451-7847
Practice Address - Street 1:5441 BUFORD HWY NE STE 202
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-1168
Practice Address - Country:US
Practice Address - Phone:770-451-7848
Practice Address - Fax:770-451-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty