Sunae Hyun Lee, PEDORTHIST

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CPED4487 Issued in GA

Practice address

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

Phone

(470) 385-6020

NPI assigned

Jul 7, 2019

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alznner 113 Walking Center Inc

  dba Sunnywell

  • Customized Equipment (DME)
  • Duluth, GA
  • NPI 1215580253

  Pedorthist

  NPD (past) Authorized official

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1285296533",
    "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": "470-385-6020"
        },
        {
            "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": "470-385-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNAE",
        "middle_name": "HYUN",
        "credential": "PEDORTHIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "CPED4487",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": "CPED4487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangheon Lee
• Sangsoo Lee, DC
• Seung Jung Lee, AGNP-C
• Seung Ki Lee, D.C.
• So Y Lee, RDH
• Thomas Taesu Lee, DDS
• Yoon Jae Lee, M.D.
• Yoonjeong Lee, PT, DPT
• Scott Christopher Leeth, MD
• Amanda Jeanne Legg, MS, ADC

• Durable Medical Equipment & Medical Supplies in Duluth, GA
• Providers in Duluth, GA by specialty
• Durable Medical Equipment & Medical Supplies 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.