Provider Demographics
NPI:1962749820
Name:RHODES, SONIA JEAN (DPH, CDE)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:JEAN
Last Name:RHODES
Suffix:
Gender:F
Credentials:DPH, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4935 MAIN ST
Mailing Address - Street 2:4935 MAIN STREET
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2735
Mailing Address - Country:US
Mailing Address - Phone:615-302-4074
Mailing Address - Fax:615-302-4079
Practice Address - Street 1:4935 MAIN ST
Practice Address - Street 2:4935 MAIN STREET
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2735
Practice Address - Country:US
Practice Address - Phone:615-302-4074
Practice Address - Fax:615-302-4079
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist