Individual
SOPHARY THENG BURNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 PEACHTREE ST. NE, ATLANTA, GA 30322-0001
(404) 686-1000
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN124937
GA
Other
Enumeration date
05/27/2011
Last updated
10/28/2025
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