Provider Demographics
NPI:1841463049
Name:NAM, YOU SUN (MD)
Entity type:Individual
Prefix:DR
First Name:YOU SUN
Middle Name:
Last Name:NAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MARSEILLES DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4342
Mailing Address - Country:US
Mailing Address - Phone:978-905-9676
Mailing Address - Fax:
Practice Address - Street 1:800 MARSEILLES DR
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30327-4342
Practice Address - Country:US
Practice Address - Phone:978-804-9676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA064615207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA7864466OtherCIGNA
GA01651123OtherAMERIGROUP
GA52510896OtherBCBS OF GEORGIA
GA003100667CMedicaid
GA202I111661Medicare PIN