Individual
ODEA SONJA GUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3471 EMMET RD, BETHLEHEM, GA 30620-5603
(470) 330-3599
Mailing address
3471 EMMET RD, BETHLEHEM, GA 30620-5603
(470) 330-3599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN089156
GA
Other
Enumeration date
11/06/2013
Last updated
07/05/2022
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