Healthcare Provider Details

I. General information

NPI: 1225832298
Provider Name (Legal Business Name): NEXAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 SUGARLOAF PKWY STE 200
DULUTH GA
30097-4329
US

IV. Provider business mailing address

6340 SUGARLOAF PKWY STE 200
DULUTH GA
30097-4329
US

V. Phone/Fax

Practice location:
  • Phone: 404-566-4538
  • Fax: 470-592-3057
Mailing address:
  • Phone: 404-566-4538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: SOON P LIM
Title or Position: OWNER
Credential:
Phone: 678-296-1881