Individual
SOPHIE KATHERINE DAIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
1240 W PEACHTREE ST NW APT 1700, ATLANTA, GA 30309-4740
(419) 270-1845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11680
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2022
Last updated
10/01/2024
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