Individual
SONIA D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1282 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-2723
(478) 313-3509
(478) 313-3517
Mailing address
639 HEMLOCK ST STE 100, MACON, GA 31201-6889
(478) 755-1560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN169032
GA
Other
Enumeration date
12/19/2017
Last updated
05/09/2024
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