Provider Demographics
NPI:1295101350
Name:ATLANTA NATURAL HEALTHCARE
Entity type:Organization
Organization Name:ATLANTA NATURAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BYEONG
Authorized Official - Middle Name:SU
Authorized Official - Last Name:HYUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, L AC
Authorized Official - Phone:253-334-5052
Mailing Address - Street 1:3296 SUMMIT RIDGE PKWY
Mailing Address - Street 2:UNIT 210
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1624
Mailing Address - Country:US
Mailing Address - Phone:253-334-5052
Mailing Address - Fax:
Practice Address - Street 1:3296 SUMMIT RIDGE PKWY
Practice Address - Street 2:UNIT 210
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1624
Practice Address - Country:US
Practice Address - Phone:253-334-5052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009402111N00000X
GA347171100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty