Organization
SUNRISE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMAMA KORYAN REGISTERED NURSE (REGISTERED NURSE)
(404) 372-1196
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DR NE STE 596, ATLANTA, GA 30345-2999
(404) 552-9096
Mailing address
2302 PARKLAKE DR NE STE 596, ATLANTA, GA 30345-2999
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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