Individual
GURBAX SONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
898 COLLEGE ST, MONTICELLO, GA 31064-1261
(800) 291-4020
(919) 419-7247
Mailing address
3211 SHANNON RD, SUITE 300, DURHAM, NC 27707-6322
(800) 291-4020
(919) 419-7247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101039610
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316984552
—
VA
Enumeration date
05/31/2006
Last updated
12/20/2010
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