Provider Demographics
NPI:1629483870
Name:SYNERQI CORPORATION
Entity Type:Organization
Organization Name:SYNERQI CORPORATION
Other - Org Name:SUN WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:404-252-0014
Mailing Address - Street 1:6667 VERNON WOODS DR
Mailing Address - Street 2:SUITE B27
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3215
Mailing Address - Country:US
Mailing Address - Phone:404-252-0014
Mailing Address - Fax:
Practice Address - Street 1:6667 VERNON WOODS DR
Practice Address - Street 2:SUITE B27
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3215
Practice Address - Country:US
Practice Address - Phone:404-252-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA342171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty