Healthcare Provider Details

I. General information

NPI: 1699767970
Provider Name (Legal Business Name): SONYA W SENGSON R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3639 ALLEGRETTO CIR
ATLANTA GA
30339-2538
US

IV. Provider business mailing address

3155 ROYAL DR
ALPHARETTA GA
30022-2475
US

V. Phone/Fax

Practice location:
  • Phone: 404-434-1701
  • Fax:
Mailing address:
  • Phone: 404-792-6980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH015434
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: