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Organization
ALZNNER 113 WALKING CENTER INC
Active
Organization
ALZNNER 113 WALKING CENTER INC
Active
Other names
Sunnywell
Organization subpart
No
Provider details
NPI number
Authorized official
SUNAE HYUN LEE C.PED (PRESIDENT)
(470) 733-9177
Entity
Organization
Contact information
Practice address
2550 PLEASANT HILL RD STE 106, DULUTH, GA 30096-4153
(470) 733-9177
Mailing address
2550 PLEASANT HILL RD STE 106, DULUTH, GA 30096-4153
(470) 733-9177
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215580253
—
GA
Enumeration date
07/18/2019
Last updated
10/24/2019
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