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Individual
SUSAN VARGHESE
Active
Individual
SUSAN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN169364
GA
363LA2100X
Acute Care Nurse Practitioner
RN169364
GA
363LF0000X
Family Nurse Practitioner
Primary
RN 169364
GA
Other
Enumeration date
07/22/2010
Last updated
11/04/2025
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