Provider Demographics
NPI:1891311387
Name:SONA BAILE
Entity Type:Organization
Organization Name:SONA BAILE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANICIA
Authorized Official - Middle Name:BORDICA
Authorized Official - Last Name:CROSS-ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-384-6368
Mailing Address - Street 1:2984 COOPER WOODS LN
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8212
Mailing Address - Country:US
Mailing Address - Phone:404-384-6368
Mailing Address - Fax:
Practice Address - Street 1:2984 COOPER WOODS LN
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-8212
Practice Address - Country:US
Practice Address - Phone:404-384-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization