Healthcare Provider Details

I. General information

NPI: 1326985896
Provider Name (Legal Business Name): SERI RYU PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 JOHNS CREEK CT STE 100
SUWANEE GA
30024-6674
US

IV. Provider business mailing address

140 SWEETEN CREEK RD
ASHEVILLE NC
28803-1526
US

V. Phone/Fax

Practice location:
  • Phone: 770-237-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: