Individual
SOPHIA SUDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 812-3000
Mailing address
500 PRESTWICK RIDGE WAY APT 43, KNOXVILLE, TN 37919-2405
(678) 876-7559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN224198
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN224198
GA
Other
Enumeration date
09/14/2020
Last updated
07/12/2023
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