Individual
JULEAH SULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 RANGER PL, DOUGLASVILLE, GA 30135-8915
(770) 369-6573
Mailing address
2711 RANGER PL, DOUGLASVILLE, GA 30135-8915
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3203037902
MI
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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