Individual
SOFIA JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2169 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-7710
(770) 676-5878
Mailing address
2169 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-7710
(770) 676-5878
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN262375
GA
363LW0102X
Women's Health Nurse Practitioner
RN262375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN262375
RN LICENSE
—
Enumeration date
02/24/2023
Last updated
05/29/2024
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