| Sophia Delorise Norman, LPN 059343 | |
| 
					2701 Trees Of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8223  | |
| (404) 491-5190 | |
| Not Available | 
| Full Name | Sophia Delorise Norman | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Vocational Nurse | 
| Location | 2701 Trees Of Kennesaw Pkwy Nw, Kennesaw, Georgia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043770399 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 059343 (Georgia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sophia Delorise Norman, LPN 059343 2701 Trees Of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8223 Ph: (404) 491-5190  | Sophia Delorise Norman, LPN 059343 2701 Trees Of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8223 Ph: (404) 491-5190  | 
Mrs. Yesnia Combs, MA, ATC, LAT LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 Chastain Rd Nw # 201, Kennesaw, GA 30144 Phone: 770-794-7716 Fax: 770-423-6665  |