Individual
VYACHESLAV VLADIMIROVICH SOZONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
1173 SIMONTON HILL CT, LAWRENCEVILLE, GA 30045-3532
(470) 314-9263
Mailing address
1173 SIMONTON HILL CT, LAWRENCEVILLE, GA 30045-3532
(470) 314-9263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN258560
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN258560
GA
Other
Enumeration date
06/29/2021
Last updated
12/19/2025
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