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Ilyssa Sultanik

NPI 1255093290 · on the registry since 2021 · sole proprietor

Practice

Address
1436 Devonash Ln
Atlanta, GA 30338
Phone
(404) 402-4002

Additional practice sites

  • 1751 Stephanie Trl Ne, Atlanta, GA

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia