Healthcare Provider Details

I. General information

NPI: 1265670665
Provider Name (Legal Business Name): HAIBA SONYIKA, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CARNEGIE PL SUITE 203
FAYETTEVILLE GA
30214-3981
US

IV. Provider business mailing address

155 CARNEGIE PL SUITE 203
FAYETTEVILLE GA
30214-3981
US

V. Phone/Fax

Practice location:
  • Phone: 678-817-6991
  • Fax: 678-817-6992
Mailing address:
  • Phone: 678-817-6991
  • Fax: 678-817-6992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAIBA SONYIKA
Title or Position: OWNER/OPERATOR
Credential: MD
Phone: 678-817-6991