Provider Demographics
NPI:1669886529
Name:RYU MEDICAL USA, INC.
Entity type:Organization
Organization Name:RYU MEDICAL USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCELL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-827-9801
Mailing Address - Street 1:3775 VENTURE DR BLDG N-202
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5102
Mailing Address - Country:US
Mailing Address - Phone:678-514-0648
Mailing Address - Fax:770-817-6139
Practice Address - Street 1:3775 VENTURE DR BLDG N-202
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5102
Practice Address - Country:US
Practice Address - Phone:678-514-0648
Practice Address - Fax:770-817-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2014013941332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment