MEDICARE: SOPHAKHONTERRY SON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH026800	GA

General Provider Information

NPI Number	:	1811433857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHAKHONTERRY SON

Provider Business Mailing Address
First Line	:	1817 DALLAS NEBO RD
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-4865
Country	:	US
Telephone Number	:	678-383-8715
Fax Number	:	678-383-8716

Provider Business Practice Location Address
First Line	:	1817 DALLAS NEBO RD
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-4865
Country	:	US
Telephone Number	:	678-383-8715
Fax Number	:	678-383-8716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2017
Last Update Date	:	01/14/2017

Similar Medicare Providers

1326585068 — DR. PAUL KIARIE MUCHENE I PHARM.D
Practice Location Address:

1817 DALLAS NEBO RD
DOUGLASVILLE, GA
30134-4865

Practice Phone: 678-383-8715
Practice Fax:

1013682996 — PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Practice Location Address:

6697 CHURCH ST
DOUGLASVILLE, GA
30134-4530

Practice Phone: 336-515-1313
Practice Fax: 336-804-5903

1346000957 — MRS. RENADA CAPRICE WALTON FNP-C
Practice Location Address:

6031 HIGHWAY 92 FAIRBURN RD
DOUGLASVILLE, GA
30134-2307

Practice Phone: 770-942-9214
Practice Fax:

1982554903 — FINDING OUR WAY LLC
Practice Location Address:

12461 VETERANS MEMORIAL HWY STE 12-I
DOUGLASVILLE, GA
30134-2025

Practice Phone: 678-310-9846
Practice Fax:

1679423669 — BETHANY WODZENSKI MA CMHC
Practice Location Address:

231 BENTONVILLE LN
DOUGLASVILLE, GA
30134-6301

Practice Phone: 770-686-0894
Practice Fax: 877-660-8884

1437018637 — WEST GEORGIA COMMUNITY CARE, LLC
Practice Location Address:

6918 OAK VALLEY DR
DOUGLASVILLE, GA
30134-1131

Practice Phone: 404-980-2674
Practice Fax:

Directions to “ SOPHAKHONTERRY SON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.