Dr. Sophia Helena Theodos, MD, MPH
Family Medicine in Charlotte, NC. Individual provider (NPI-1).
NPI number1194475889
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1194475889
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sophia Helena Theodos
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2022
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2025-00800 | NC | Yes |
Practice location
10620 Park Rd Ste 202Charlotte, NC 28210-0106
Phone 844-235-6999 · Fax 704-468-0089
Mailing address
10620 Park Rd Ste 202Charlotte, NC 28210-0106
Fax 704-468-0089
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