Individual
SONALI PONKSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-2273
Mailing address
3538 GLENEAGLES DR, MARTINEZ, GA 30907-9507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4044056502
PHONE NUMBER
GA
Enumeration date
06/09/2022
Last updated
06/09/2022
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