Individual
SOFINA BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4627 CEDAR WOOD DR SW, LILBURN, GA 30047-4289
(404) 368-9305
Mailing address
4627 CEDAR WOOD DR SW, LILBURN, GA 30047-4289
(404) 368-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
306581
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2017
Last updated
04/05/2024
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