Individual
SOPHIA JEANNETTE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 668-4000
(650) 284-0381
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 668-4000
(650) 284-0381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-02285
NC
208000000X
Pediatrics Physician
T8210
TX
Other
Enumeration date
04/12/2019
Last updated
10/03/2024
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