Alznner 113 Walking Center Inc
Organization Active NPI Customized Equipment (DME) · Duluth, GA
NPI 1215580253 · NPPES record last updated Oct 24, 2019
Key facts
- NPI
- 1215580253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Customized Equipment (DME) 332BC3200X
- Legal business name
- ALZNNER 113 WALKING CENTER INC
- Practice address
- 2550 Pleasant Hill Rd Ste 106
Duluth, GA 30096-4153 - Phone
- (470) 733-9177
- NPI assigned
- Jul 18, 2019
- Organization subpart
- No
Authorized official
- Name
- Sunae Hyun Lee, C.PED
- Title
- President
- Phone
- (470) 733-9177
Practitioners 1
-
Sunae Hyun Lee, PEDORTHIST
National Provider Directory
Locations
2550 Pleasant Hill Rd
Ste 106
Duluth, GA 30096
Phone (470) 385-6020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist |
224L00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Yes |
Addresses
Primary practice location
2550 Pleasant Hill Rd Ste 106
Duluth, GA 30096-4153
Mailing address
2550 Pleasant Hill Rd Ste 106
Duluth, GA 30096-4153
Phone (470) 733-9177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215580253 | Medicaid | GA |
Other names
- Sunnywell
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All providers in Duluth, GA · Customized Equipment (DME) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.