Individual
MICHAEL ANTHONY SONNTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2336 DAWSON RD STE 1500, ALBANY, GA 31707-2802
(229) 312-1000
Mailing address
122 BUCK RUN DR, LEESBURG, GA 31763-5184
(229) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12649
LICENSE
—
Enumeration date
06/03/2021
Last updated
10/03/2022
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