Provider Demographics
NPI:1598595530
Name:SUNSORI, NATAKII A (ND)
Entity type:Individual
Prefix:DR
First Name:NATAKII
Middle Name:A
Last Name:SUNSORI
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 HOLCOMB BRIDGE RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3116
Mailing Address - Country:US
Mailing Address - Phone:470-275-4993
Mailing Address - Fax:
Practice Address - Street 1:3475 HOLCOMB BRIDGE RD STE 200B
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3116
Practice Address - Country:US
Practice Address - Phone:470-275-4993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARND20007072175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath