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NPI Code Detail

MEDICARE: DR. SONIA GARSON PADOAN MD

MEDICARE: DR. SONIA GARSON PADOAN MD
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
1207Q00000XFamily Medicine Physician70392GA

General Provider Information

NPI Number : 1134445513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONIA GARSON PADOAN MD
Provider Business Mailing Address
First Line : 882 PONCE DE LEON AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4268
Country : US
Telephone Number : 770-809-3034
Fax Number :
Provider Business Practice Location Address
First Line : 882 PONCE DE LEON AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4268
Country : US
Telephone Number : 770-809-3034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2010
Last Update Date : 09/07/2016

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