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Sophonie Theodore

NPI 1477412773 · on the registry since 2026 · sole proprietor

Practice

Address
2955 Vine Ridge Dr
Powder Springs, GA 30127
Phone
(678) 736-1865

Registry record

Primary taxonomy
174N00000X
174N00000X
Sex
Female
Record last updated
2026-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia