Camphor, Sonia Ezra
Camphor, Sonia Ezra is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Camphor, Sonia Ezra can be contacted via phone (770) 918-3000.Contact Information
Primary practice address
1412 Milstead Ave Ne
Conyers GA 30012-3877
Phone: (770) 918-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD430060 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 053844 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 53844 | Georgia |
Profile Details
| NPI number | 1285670166 |
|---|---|
| LBN Legal business name | Camphor, Sonia Ezra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Dec 1st, 2023 - about 3 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 | 1285670166 | NPPES |
| Georgia | Other | 053844 | GA LICENSE |
| Georgia | MEDICAID | 233167541A | GA LICENSE |
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