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Individual

SANDRA L SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 274-7628
Mailing address
1101 E HILLCREST PKWY, DUBLIN, GA 31021-2998
(478) 205-5517
(478) 205-5518

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039476
GA
2084P0800X
Psychiatry Physician
39476
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606284H
GA
05
000666113D
GA
05
300030912A
GA
Enumeration date
08/26/2005
Last updated
03/09/2026
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