Healthcare Provider Details

I. General information

NPI: 1427970755
Provider Name (Legal Business Name): SONIA GABRIELA NORTHWAY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONIA AGUIRRE-NORTHWAY

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 GREYFIELD CT
CUMMING GA
30040-1270
US

IV. Provider business mailing address

6120 GREYFIELD CT
CUMMING GA
30040-1270
US

V. Phone/Fax

Practice location:
  • Phone: 770-313-8713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number017741
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: