Individual provider · Type 1 NPI

Mandeville Anne Wakefield Sofer, DO

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1699578963 Active

Practice location

677 Church St NE
Marietta, GA 30060-1101

Call (770) 793-6194 Map

Mailing address

3221 Thomas Ave
Montgomery, AL 36106-2427

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699578963

Mandeville Anne Wakefield Sofer, DO's National Provider Identifier is 1699578963, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Mar 31, 2025.