Autumn Session
Specialist/Technologist, Other in Suwanee, GA. Individual provider (NPI-1).
NPI number1184432734
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1184432734
- Entity type
- Individual (NPI-1)
- Name
- Autumn Session
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2024
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
1500 Peachtree Industrial Blvd Ste 165Suwanee, GA 30024-8490
Phone 470-618-8032
Mailing address
3731 Meeting StDuluth, GA 30096-3182
Phone 470-618-8032
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