Organization Active NPI

Suwanee Acupuncture LLC

  • Clinic/Center
  • Suwanee, GA
National Provider Identifier
1326699828
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUWANEE ACUPUNCTURE LLC
Practice address
530 Highland Station Dr Ste 1008
Suwanee, GA 30024-6572
Phone
(770) 681-8888
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Brandon Yongjo Lee, L.AC.
Title
Owner
Phone
(770) 681-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

530 Highland Station Dr Ste 1008
Suwanee, GA 30024-6572

Mailing address

530 Highland Station Dr Ste 1008
Suwanee, GA 30024-6572
Phone (770) 681-8888

National Provider Directory

National Provider Directory

Locations

530 Highland Station Dr
Ste 1008
Suwanee, GA 30024
Phone (770) 681-8888

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1326699828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HIGHLAND STATION DR STE 1008",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246572",
            "telephone_number": "770-681-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIGHLAND STATION DR STE 1008",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246572",
            "telephone_number": "770-681-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWANEE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "YONGJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-681-8888",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.