Organization
SONA BAILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANICIA BORDICA CROSS-ROBINSON (NP)
(404) 384-6368
Entity
Organization
Contact information
Practice address
2984 COOPER WOODS LN, LOGANVILLE, GA 30052-8212
(404) 384-6368
Mailing address
2984 COOPER WOODS LN, LOGANVILLE, GA 30052-8212
(404) 384-6368
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
01/21/2024
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