Provider Demographics
NPI:1851647747
Name:GERMANY, SOFRONIA TOMORA (CNM)
Entity Type:Individual
Prefix:
First Name:SOFRONIA
Middle Name:TOMORA
Last Name:GERMANY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 INMAN DR
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-3852
Mailing Address - Country:US
Mailing Address - Phone:706-664-3349
Mailing Address - Fax:
Practice Address - Street 1:1209 SE INDUSTRY DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-5023
Practice Address - Country:US
Practice Address - Phone:252-492-8576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN223294163W00000X
NC856367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse