Individual
DR. SOPHIA PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6010 SINGLETON RD STE 209, NORCROSS, GA 30093
(770) 248-0200
Mailing address
1309 NANTAHALA TRL, MARIETTA, GA 30062-8804
(770) 321-6071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN158329
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN158329
GA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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