Provider Demographics
NPI:1528500824
Name:ARISTOR, SONYA (RN)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:
Last Name:ARISTOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 HOLLYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1701
Mailing Address - Country:US
Mailing Address - Phone:404-987-5543
Mailing Address - Fax:
Practice Address - Street 1:125 HOLLYBROOK RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-1701
Practice Address - Country:US
Practice Address - Phone:404-987-5543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN106682163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse