Individual
ANNY SOSEBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
396 HISTORIC HWY 441 N, DEMOREST, GA 30535
(706) 754-4348
Mailing address
396 HISTORIC HWY 441 N, DEMOREST, GA 30535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP191042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206458A
—
GA
05
—
003206458B
—
GA
05
—
003206458C
—
GA
05
—
003206458D
—
GA
05
—
003206458E
—
GA
01
—
05752404
AMERIGROUP
GA
01
—
1643451
WELLCARE
GA
01
—
1773728
WELLCARE
GA
01
—
1773729
WELLCARE
GA
01
—
1773739
WELLCARE
GA
01
—
1773742
WELLCARE
GA
Enumeration date
06/19/2018
Last updated
10/16/2025
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