Basic Information
Provider Information
NPI: 1316119480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FUNG
FirstName: YUN MEI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 PIEDMONT AVE NE
Address2: STE 700
City: ATLANTA
State: GA
PostalCode: 303032544
CountryCode: US
TelephoneNumber: 4047561403
FaxNumber: 4047565252
Practice Location
Address1: 80 JESSE HILL JR DR SE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303033031
CountryCode: US
TelephoneNumber: 4046165800
FaxNumber: 4046160787
Other Information
ProviderEnumerationDate: 03/29/2008
LastUpdateDate: 10/10/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X060263GAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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