Provider Demographics
NPI:1649557190
Name:HOPSON, SONYA GLLE (RD, LD/N)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:GLLE
Last Name:HOPSON
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CHEROKEE TRL
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-1114
Mailing Address - Country:US
Mailing Address - Phone:662-808-0974
Mailing Address - Fax:
Practice Address - Street 1:95 CHEROKEE TRL
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1114
Practice Address - Country:US
Practice Address - Phone:662-808-0974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2380133V00000X
MSD1399133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered