Provider Demographics
NPI:1649858168
Name:JOSEPH, SONIYA CHRISTINA (MD)
Entity type:Individual
Prefix:
First Name:SONIYA
Middle Name:CHRISTINA
Last Name:JOSEPH
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 1:130 CARISSA CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5217
Mailing Address - Country:US
Mailing Address - Phone:864-990-7585
Mailing Address - Fax:
Practice Address - Street 1:1330 BOILING SPRINGS RD STE 1300
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4204
Practice Address - Country:US
Practice Address - Phone:864-560-6345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC92876208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics