Individual ProviderSung Hee AnNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10710 Medlock Bridge Rd Ste 200, Johns Creek, GA 30097-1998(770) 497-4188PECOS EnrollmentBased on the most recent information from CMS, provider Sung Hee An is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1861066508Provider TypeIndividualFull NameAn, Sung HeeCredentialCRNPGenderFemaleSole ProprietorYesEnumeration Date5/17/2021Last Updated5/26/2021Contact InformationPractice LocationPractice Address10710 Medlock Bridge Rd Ste 200, Johns Creek, GA 30097-1998Phone(770) 497-4188Fax(770) 497-4189Mailing LocationMailing Address10710 Medlock Bridge Rd Ste 200, Johns Creek, GA 30097-1998Phone(770) 497-4188Fax(770) 497-4189Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN302386Georgia