Provider Demographics
NPI:1871074641
Name:ANGRY, SYLVIA ELAINE
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ELAINE
Last Name:ANGRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31787-2477
Mailing Address - Country:US
Mailing Address - Phone:404-449-1634
Mailing Address - Fax:
Practice Address - Street 1:154 CEDAR ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:GA
Practice Address - Zip Code:31787-2477
Practice Address - Country:US
Practice Address - Phone:404-449-1634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor