Individual
DR. SONIA EZRA CAMPHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
3723 TREBOURNE SQ SE, SMYRNA, GA 30080-4903
(678) 640-6229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53844
GA
207RN0300X
Nephrology Physician
MD430060
PA
208M00000X
Hospitalist Physician
053844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053844
GA LICENSE
GA
05
—
233167541A
—
GA
Enumeration date
06/21/2006
Last updated
12/01/2023
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