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Individual
MISTY MESHELL SUDDETH
Active
Individual
MISTY MESHELL SUDDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-L
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN113269 NP
GA
367A00000X
Advanced Practice Midwife
APN000007995
TN
Other
Enumeration date
11/21/2006
Last updated
07/21/2023
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