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NPI Code Detail

MEDICARE: SONYA S SAADATI DO

MEDICARE:   SONYA S SAADATI  DO
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 PhysicianDO1213TN
2207Q00000XFamily Medicine Physician2021-02209NC

Other Identifiers

General Provider Information

NPI Number : 1992709679
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA S SAADATI DO
Provider Business Mailing Address
First Line : PO BOX 3239
Second Line :
City : FLORENCE
State : SC
Zip : 29502-3239
Country : US
Telephone Number : 910-575-8488
Fax Number : 910-575-6542
Provider Business Practice Location Address
First Line : 690 SUNSET BLVD N STE 208
Second Line :
City : SUNSET BEACH
State : NC
Zip : 28468-5611
Country : US
Telephone Number : 910-575-8488
Fax Number : 910-575-6542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/30/2021

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Directions to “ SONYA S SAADATI DO” Practice Location

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