Individual
SUZANN I MAUGHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 N MAIN ST NW, CONYERS, GA 30012-4352
(770) 761-8889
Mailing address
PO BOX 1084, CONYERS, GA 30012-1084
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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