Individual
ANGEL MANUEL SOSTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
4413 TREELINE WAY, DOUGLASVILLE, GA 30135-4233
(954) 257-6469
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN185664
GA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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