Individual
SOPHIA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 SUGAR CREEK DR SE, CONYERS, GA 30094-3803
(770) 864-5331
Mailing address
911 SUGAR CREEK DR SE, CONYERS, GA 30094-3803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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