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Organization
SUNRISE MEDICAL GROUP, LLC
Active
Organization
SUNRISE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KORYAN (JOHN KORYAN)
(404) 552-9096
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DRIVE, SUITE 596, ATLANTA, GA 30345-2884
(404) 372-1196
Mailing address
2200 PARKLAKE DR NE APT 1341, ATLANTA, GA 30345-2884
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/26/2021
Last updated
10/03/2022
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