Mcintyre, Sophia L
Mcintyre, Sophia L is an individual health care provider with primary practice located at 3707 Largent Way Nw , Marietta GA 30064-5981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcintyre, Sophia L can be contacted via phone (678) 581-5729.Contact Information
Primary practice address
3707 Largent Way Nw
Marietta GA 30064-5981
Phone: (678) 581-5729
Fax: (678) 581-5835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 228018 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51162 | Georgia |
Profile Details
| NPI number | 1063413805 |
|---|---|
| LBN Legal business name | Mcintyre, Sophia L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Nov 5th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063413805 | NPPES |
| New York | MEDICAID | 02386794 |
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