SearchGeorgia183500000X

Sophakhonterry Son

NPI 1811433857 · on the registry since 2017

Practice

Address
1817 Dallas Nebo Rd
Douglasville, GA 30134
Phone
(678) 383-8715
Fax
(678) 383-8716
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-14

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