NPI 1194419663

Sophia Shea Marino, PAC

Practitioner Physician Assistant Dothan, AL

Practice location

Address: 1108 Ross Clark Cir, Dothan, AL 36301-3022
Phone: (334) 793-8111
Mailing address: 10 Country Club Pl W, Camp Hill, PA 17011-2613

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 12242 (GA)

Other Physician Assistant providers in Alabama →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Registry record

NPI: 1194419663
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2023
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.