Individual
SOPHIA MARIE ARTIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7180 SOUTHLAKE PKWY, MORROW, GA 30260-4178
(770) 968-6994
Mailing address
3424 BAYLOR CIR, MCDONOUGH, GA 30253-6157
(313) 742-6780
(678) 519-0645
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN285743
GA
163WC1500X
Community Health Registered Nurse
RN285743
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN285743
GA
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/21/2022
Last updated
06/16/2022
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