Most Relevant Information
Provider Data
| NPI Number: | 1003668971 |
| Provider Name: | SOPHIA P GEORGES AGNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN315199 |
Most Important Dates
| Enumeration Date: | 04/03/2024 |
| Last Updated: | 04/03/2024 |
Provider Practice Location
1039 HIGHLAND LAKE CIR
DECATUR
GA
300333457
Practice Location Phone/Fax
| Phone: | 5133482926 |
| Fax: |
Provider Mailing Location
1039 HIGHLAND LAKE CIR
DECATUR
GA
300333457
Provider Mailing Phone/Fax
| Phone: | 5133482926 |
| Fax: |