Individual
MAH SANOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 FERENTZ TRCE, NORCROSS, GA 30071-3676
(678) 200-0920
Mailing address
1921 FERENTZ TRCE, NORCROSS, GA 30071-3676
(678) 200-0920
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030104123
GA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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