Individual
MRS. SYLVIA WALFRIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1043 OLD PEACHTREE RD NW, LAWRENCEVILLE, GA 30043
(678) 335-5400
Mailing address
2641 HILLGROVE DR, DACULA, GA 30019-6806
(203) 249-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03753564
—
NY
Enumeration date
09/07/2012
Last updated
06/02/2023
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