Healthcare Provider Details

I. General information

NPI: 1093625345
Provider Name (Legal Business Name): REACH7 STUDIO 1 NORTH COLUMBUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 RAY WRIGHT WAY STE D
COLUMBUS GA
31909-7701
US

IV. Provider business mailing address

6901 RAY WRIGHT WAY STE D
COLUMBUS GA
31909-7701
US

V. Phone/Fax

Practice location:
  • Phone: 706-487-3933
  • Fax: 706-960-6587
Mailing address:
  • Phone: 706-487-3933
  • Fax: 706-960-6587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: CHUN YONG
Title or Position: GENERAL MANAGER
Credential:
Phone: 404-543-9924