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1376005090
SORA PARK
ATLANTA, GA
NPI
1376005090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 95846)
Enumeration Date
2019-04-02
Last Update Date
2023-08-23
Business Address
SORA PARK MD
519 MEMORIAL DR SE UNIT B10
ATLANTA, GA 30312-2289
Phone number: 470-223-8983
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Mailing Address
SORA PARK MD
113 S. PERRY ST. STE 206 #8276
LAWRENCEVILLE, GA 30046
Phone number: 470-223-8983
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