MEDICARE: SOPHIA SAIFEE 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
1	207R00000X	Internal Medicine Physician	061515	GA

General Provider Information

NPI Number	:	1851543086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA SAIFEE MD

Provider Business Mailing Address
First Line	:	6025 PROFESSIONAL PKWY STE 200
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5610
Country	:	US
Telephone Number	:	770-949-0555
Fax Number	:	770-949-4424

Provider Business Practice Location Address
First Line	:	6025 PROFESSIONAL PKWY STE 200
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5610
Country	:	US
Telephone Number	:	770-949-0555
Fax Number	:	770-949-4424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	03/26/2018

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