Healthcare Provider Details

I. General information

NPI: 1114847324
Provider Name (Legal Business Name): SOPHIE ELIZABETH WILKS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6135 BARFIELD RD STE 200
SANDY SPRINGS GA
30328-4308
US

IV. Provider business mailing address

225 FRANKLIN RD UNIT 3313
SANDY SPRINGS GA
30342-2752
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-8500
  • Fax:
Mailing address:
  • Phone: 302-561-5434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN-NP318020
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: