Healthcare Provider Details

I. General information

NPI: 1043457096
Provider Name (Legal Business Name): YECHE,LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2442 PLEASANT HILL RD STE 4
DULUTH GA
30096-1710
US

IV. Provider business mailing address

2442 PLEASANT HILL RD STE 4
DULUTH GA
30096-1710
US

V. Phone/Fax

Practice location:
  • Phone: 678-417-0100
  • Fax: 678-417-0100
Mailing address:
  • Phone: 678-417-0100
  • Fax: 678-417-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number305530342
License Number StateGA

VIII. Authorized Official

Name: MR. KWAN HA LEE
Title or Position: PRESIDENT
Credential:
Phone: 678-417-0100