Individual
SONYA J. MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 242-3002
Mailing address
230 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 242-3002
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
029038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029038
MEDICAL LICENSE
GA
Enumeration date
08/29/2006
Last updated
07/08/2007
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