Provider Demographics
NPI:1801677232
Name:HINES, SONJA JOHNSON (MSW, MPA)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:JOHNSON
Last Name:HINES
Suffix:
Gender:F
Credentials:MSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2899 LYNDA PL
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-5759
Mailing Address - Country:US
Mailing Address - Phone:404-226-0739
Mailing Address - Fax:404-289-2393
Practice Address - Street 1:2899 LYNDA PL
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-5759
Practice Address - Country:US
Practice Address - Phone:404-226-0739
Practice Address - Fax:404-289-2393
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty