Provider Demographics
NPI:1407659535
Name:WEAKS, SOPHIA LEMUS (DO)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:LEMUS
Last Name:WEAKS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SOPHI
Other - Middle Name:
Other - Last Name:LEMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:743 SPRING ST NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3715
Mailing Address - Country:US
Mailing Address - Phone:770-219-1200
Mailing Address - Fax:770-219-6206
Practice Address - Street 1:743 SPRING ST NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3715
Practice Address - Country:US
Practice Address - Phone:770-219-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program