NPI age
1 years
Enumerated 2024-12-27
● Active
Type 1 · Individual
Autumn Session
Session is 1 of 1 specialist/technologist, other providers in Suwanee and 1 of 81 in Georgia.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 81 active specialist/technologist, other providers in Georgia.
NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-12Enumerated in NPPES
2024
2026
Where they practice
Practice location
1500 Peachtree Industrial Blvd Ste 165
Suwanee, GA 300248490
Mailing address
3731 Meeting St
Duluth, GA 300963182
Specialties
-
Specialist/Technologist, Other PrimaryGeneral classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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