Individual
SOPHIA SHEA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Mailing address
10 COUNTRY CLUB PL W, CAMP HILL, PA 17011-2613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12242
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/06/2023
Last updated
06/28/2024
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