Individual ProviderMichelle ChunNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10710 Medlock Bridge Rd Ste 150, Johns Creek, GA 30097-2440(770) 497-4188PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Chun is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1487121679Provider TypeIndividualFull NameChun, MichelleGenderFemaleSole ProprietorNoEnumeration Date10/26/2018Last Updated12/12/2018Contact InformationPractice LocationPractice Address10710 Medlock Bridge Rd Ste 150, Johns Creek, GA 30097-2440Phone(770) 497-4188FaxUnlisted FaxMailing LocationMailing Address10710 Medlock Bridge Rd Ste 150, Johns Creek, GA 30097-2440Phone(770) 497-4188Fax(770) 497-4189Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN223827Georgia