MEDICARE: SERI RYU PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1326985896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERI RYU PA-C

Provider Business Mailing Address
First Line	:	140 SWEETEN CREEK RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28803-1526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3915 JOHNS CREEK CT STE 100
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-6674
Country	:	US
Telephone Number	:	770-237-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	06/08/2026

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Directions to “ SERI RYU PA-C” Practice Location

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