IndividualActive
Autumn Session
NPI 1184432734 · Other Specialist/Technologist · Suwanee, GA
Provider details
- NPI number
- 1184432734
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1500 Peachtree Industrial Blvd Ste 165
Suwanee, GA 30024-8490
Phone: (470) 618-8032
Approximate (ZIP-level) locationGet directions
Mailing address
3731 Meeting St
Duluth, GA 30096-3182
Registry dates
- Enumerated
- 2024-12-27
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.