Provider Demographics
NPI:1275590812
Name:GEORGE, SONIA VALITA (MD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:VALITA
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 ROSWELL RD. NE
Mailing Address - Street 2:SUITE #44
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8826
Mailing Address - Country:US
Mailing Address - Phone:678-560-3999
Mailing Address - Fax:678-560-3890
Practice Address - Street 1:3535 ROSWELL RD NE
Practice Address - Street 2:SUITE #44
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8826
Practice Address - Country:US
Practice Address - Phone:678-560-3999
Practice Address - Fax:678-560-3890
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0422512080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics