Alznner 113 Walking Center Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ALZNNER 113 WALKING CENTER INC

Doing business as

Sunnywell

Practice address

2550 Pleasant Hill Rd Ste 106
Duluth, GA 30096-4153

Phone

(470) 733-9177

NPI assigned

Jul 18, 2019

Last updated

Oct 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunae Hyun Lee, C.PEDNPI 1285296533

Title

President

Phone

(470) 733-9177

Specialties & licenses 3

Addresses

Other names 1

• Sunnywell Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunae Hyun Lee, PEDORTHIST

  • Durable Medical Equipment & Medical Supplies
  • Duluth, GA
  • NPI 1285296533

  Pedorthist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1215580253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 106",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964153",
            "telephone_number": "470-733-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 106",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964153",
            "telephone_number": "470-733-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZNNER 113 WALKING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNAE",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-733-9177",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnywell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunnywell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Duluth, GA
• Providers in Duluth, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.